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FUNDAMENTALS OF MYCOLOGY

Mycology study of fungi


Fungi eukaryotic
Natural habitat soil, water, organic debris, part of normal flora
Dimorphism 2 forms depending on environmental condition.
Yeast - tissue phase, unicellular
Molds hyphal or mycelial, multicellular
Parts
Capsule slime layer, attach to human cell membrane
Cell wall rigidity and strength, protects from osmotic shock
Cell membrane major site of antifungal action (ergosterol)

DERMATOPHYTES
Exercise no. 26
Cutaneous mycosis
Dermatophytosis / ringworm
Infection of keratinized tissue (keratinase)
Can induce inflammatory response
3 genera:
Trichophyton hair, skin, nails (predominantly macroconidia)
Microsporum hair, skin (predominantly microconidia)
Epidermophyton skin, nail (no microconidia)
Diseases: T. barbae, T. capitis, T. cruris, T. favosa, manus, T. pedis, T. unguim

FUNGI AFFECTING THE SKIN AND SUBCUTANEOUS TISSUES


Exercise no. 27
Sporotrichosis , Chromoblastomycosis, Maduromycosis, Rhinosporidiosis
Chronic localized infection of skin and subcutaneous tissues following traumatic
implantation of etiologic agent.

Difficult to treat requires surgical intervention

SYSTEMIC MYCOTIC AGENTS


Exercise no. 28
Histoplasmosis H.capsulatum
South american blastomycosis - Paracoccidiomycosis
Coccidiomycosis C. immites
North American blastomycosis B. dermatitidis
Highly virulent
All are dimorphic
Ability to elicit disease in normal host
Primary infection lungs

OPPORTUNISTIC FUNGI
Exercise no 29
Candidiasis, Aspergillosis, Mucormycosis, Cryptococcosis
Low virulent
Monomophic
Immunocompromised host

Microsporum canis
Spindle shape
Rough thick walled (5-15 cells)
Often with terminal knobs
Spiny tips
Macroconidia have curved or hooked spiny tips
T.capitis, corporis

M. gypseum

Spindle shape
Rough thin walled (>10 cells)
Thinner walled macroconidia
Often with terminal knobs, blunt end
T. capitis, corporis, unguium

T.rubrum

Teardrop microconidia (en thyrse)


Pyriform and clavate microconidia
T. cruris, corporis, barbae, pedis, manus, unguium

E. floccosum

Smooth, thin walled


Club like macroconidia in clusters/ clavate macroconidia in groups of 2 or 3
Fuseaux in banana branch
T. cruris, T. unguium

T. mentagrophytes

Pyriform macroconidia
With spiral or coiled hyphae
Grape like clusters of microconidia on terminal branch

T. corporis, T. unguim, T. pedis and manus

Sporothrix schenkii

Sporotrichosis
Rose handlers disease
Occurs as saprophyte in nature
Chronic infection with involvement of lymphatics
Nodular with suppuration and ulceration
Lymphocutaneous most common clinical type
SDA small, cream colored or brown to black. Colonies become membranous and wrinkled
Micro delicate branching hyphae with conidiophore terminated by clusters of small
pyriform conidia producing flowerette arrangement.
Tissue budding cell yeast CIGAR body, asteroid body
Mold daisy like or rosette microconidia

Phialophora verrucosa

Phialophora, cladosporium, fonseca


Chromoblastomycosis verrucous warty nodules, progress, vegetate and take a cauliflower
like appearance
Verrucous dermatitis
Phaeohyphomycosis
Tissue sclerotic, meddler, brown, fission body

P. verrucosa
Mold flask shaped phialides / vase like microconidia

Cladosporium carionii

- Mold branching conidiophore, with chains of conidia

Fonseca Pedrosoi

Acrotheca club shaped conidiophore with conidia arising at lateral sides

H.capsulatum

At room temp. filamentous growth, colony is cottony and white becomes buff to brown
with age
At 37C in blood agar slant colony is yeast like, smooth and white to cream in color.
Micro small oval, single budding cell
In old culture tuberculate chlamydospores
Grows in soil with high nitrogen content, assoc with guano bats and birds ( starlings)
MOT inhalation of tuberculate macroconidia
Benign and opportunistic infection

Rhizopus sp.

With roots/ rhizoids


Rapidly growing fungus
Forms cottony aerial mycelium which is at first white, then turns to dark gray.
Micro nonseptate aerial mycelia with numerous stolons which connect groups of
unbranched sporangiophores

MUCORMYCOSIS
Phycomycosis or zygomycosis
Can invade BV and cause rhinocerebral zygomycosis

Pred. factors leukemia, diabetic acidosis, malnutrition

Mucor

- no presence of rhizoids

MUCORMYCOSIS
Phycomycosis or zygomycosis
Can invade BV and cause rhinocerebral zygomycosis
Pred. factors leukemia, diabetic acidosis, malnutrition

Penicillium spp.

Aspergillus

Exogenous source

Acute and chronic fungus infection involving the sinuses, bronchi, lungs.
A.Fumigatus
A. flavus aflatoxin
MOT inhalation of airborne spores
Mycotoxicosis ingestion of contaminated food
Hypersensitivity
Pneumonitis
Systemic dse
Dichotomous branching hyphae
Fungus ball in CXR mistaken for TB

Cryptococcus neoformans

Only encapsulated (swell with chemical, india ink) fungi


Associated with pigeon droppings
Lab seen as yeast

Most common cause of fungal meningitis


SDA white mucoid glistening

Candida albicans

Part of NF of mouth, throat, s.i, vagina, skin


Micro round, oval, oblong cells arranged sin singly, clusters or in chains.
Germ tube are produced after inbubation(yeast form).
Grows aerobically
Urease (-)
SDA- (+) chlamydospores
Diaper rash, vulvovaginitis, oral thrush, eye infection, common among HIV patients

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