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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
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
E. floccosum
T. mentagrophytes
Pyriform macroconidia
With spiral or coiled hyphae
Grape like clusters of microconidia on terminal branch
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
P. verrucosa
Mold flask shaped phialides / vase like microconidia
Cladosporium carionii
Fonseca Pedrosoi
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.
MUCORMYCOSIS
Phycomycosis or zygomycosis
Can invade BV and cause rhinocerebral zygomycosis
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
Candida albicans