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Exam 5 Opportunistic Mycoses
Fungi
51
Biology
Undergraduate 3
04/12/2015

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Term
Opportunistic Mycoses type of patients have what type of Diseases?
Definition
Leukemia/Diabetes/Underlying defect of immune system
Term
Opportunistic Mycoses type of patients are undergoing what type of treatments?
Definition
Corticosteroids/Cytotoxic drugs/Other agents
Term
List 3 Reasons that would suggest a Opportunistic Mycoses MO of clinical significance
Definition
Demonstrated microscopically in specimen
Repeatedly isolated
Normally sterile site
Term
Are Most opportunists susceptible or resistant to cycloheximide?
Definition
Susceptible
Term
True or False:
With Opportunistic Mycoses MOs you need to include media without antibiotics
Definition
True
Term
Describe Aspergillosis
Definition
Acquired by inhalation of spores
Fungus ball in lungs
Can disseminate
Term
Describe the Morphology of Asperigillus
Definition
Narrow, septate, hyaline
Dichotomous brancing (45 degree angles)
"Closed Fist"
Term
What is the most common cause of Aspergillosis?
Definition
A. fumigatus
Term
What are the following usually considered?
A. flavus
A. niger
Definition
Contaminants
Term
True or False:
Penicillium is considered a common contaminant
Definition
True
Term
True or False:
Penicillium rarely causes disease
Definition
True
Term
What is the disease that can be attributed back to Penicillium?
Definition
Mycotic keratitis
Term
Which species of Penicillium is connected to the following:
Disseminated infection in AIDS patients (Asia)
Definition
P. marneffi
Term
What is the morphology attributed to Penicillium?
Definition
"Open Fist"
Term
Is Zygomycosis considered a significant cause of disease?
Definition
Yes
Term
Where can Zygomycosis be found?
Definition
Worldwide on decaying vegetable material or in soil
Term
How are diseases usually acquired from Zygomycosis?
Definition
Inhalation of spores, infection follows
Term
What are the types of patients attributed to Zygomycosis?
Definition
Uncontrolled diabetes
Prolonged therapy: corticosteroids/antibiotics/cytotoxins
Term
Describe the results of a Direct Exam of the Zygomycosis specimen with KOH
Definition
Branching
Predominately nonseptate
Broad, irregular, ribbon-like hyphae
Term
What are the organisms called that cause Zygomycosis?
Definition
Zygomycetes
Term
Name the 3 Zygomycetes that were covered in lecture
Definition
Rhizopus
Mucor
Absidia
Term
Which Zygomycetes is attributed to bread mold?
Definition
Rhizopus
Term
Which Zygomycetes is attributed to the disease sometimes referred to as mucromycosis?
Definition
Mucor
Term
Name the 4 Genera that are associated with Yeast like Fungi
Definition
Candida
Cryptococcus
Torulopsis/Candida torulopsis
Trichosporon capitatum
Term
Which Yeast Like Fungi is considered Normal Flora of the Throat/Genitourinary tract/Skin?
Definition
Candida albicans
Term
What are the 4 diseases associated with Candida albicans?
Definition
Candidosis/Candidiasis(normal & immunocompromised)
Thrush
Vaginitis
Bronchopneumonia
Term
What are the 4 stains associated with a Direct Exam of Candida albicans?
Definition
Giemsa
GMS
KOH
Gram
Term
What is the cornmeal agar morphology associated with Candida albicans?
Definition
Chlamydospores, blastoconidia, pseudohyphae
Term
What is the cornmeal agar morphology associated with Candida other than albicans?
Definition
Pseudohyphae & blastoconidia
Term
What color will C. albicans appear on CHROMagar (TM) Candida?
Definition
light to medium green
Term
What color will C. tropicalis appear on CHROMagar (TM) Candida?
Definition
dark blue to metallic blue
Term
What color will C. krusei appear on CHROMagar (TM) Candida?
Definition
lavender with whitish border
Term
What is/are the disease(s) associated with Cryptococcus neoformans?
Definition
Pulmonary/CNS
Very serious in immunocompromised
Meningitis
Term
What is the habitat associated with Cryptococcus neoformans?
Definition
Pigeon droppings/Soil
Term
What is the halo formed during India Ink Prep due to?
Definition
Mucopolysaccharide capsule
Term
What is the Test of Choice for identifying Cryptococcus neoformans?
Definition
Antigen Detection (Latex beads coated with antibody)
Term
For Cryptococcus neoformans what type of media should be used?
Definition
Media without cycloheximide
Term
Phenol Oxidase Production is a test used to identify what MO?
Definition
Cryptococcus neoformans
Term
Finish this line:
If the Antigen Detection Test is Positive, ____ ____ _ _____
Definition
Set Up a Titer
Term
Will Urea be + or = for Cryptococcus neoformans?
Definition
Positive
Term
What type of agar is used to determined Phenol Oxidase Production?
Definition
Birdseed agar (niger seed agar)
Term
What is another test used to identify Cryptococcus neoformans?
Definition
Carbohydrate utilization test
Term
How is Cryptococcus gattii transmitted?
Definition
Respiratory route
Term
Where is Cryptococcus gattii usually found?
Definition
Soil and on trees
Term
What is so special about Cryptococcus gattii?
Definition
Infects healthy & immunocompromised hosts
Term
Which MO kills 25% of infected patients?
Definition
Cryptococcus gattii
Term
What makes Pneumocystis jiroveci an atypical fungus?
Definition
Cysts & Trophic Bodies
Does NOT grow in culture
Term
What does Pneumocystis jiroveci most commonly cause?
Definition
Pneumonia
Term
Other than Pneumonia what other disease is attributed to Pneumocystis jiroveci and patients with AIDS?
Definition
Primary Opportunistic Infections
Term
What are the typical specimens for Pneumocystis jiroveci?
Definition
Bronchoalveolar lavage
Transbronchial biopsy
Induced sputum
Term
Name 3/4 stains pointed out in lecture that are used to identify Pneumocystis jiroveci?
Definition
Giemsa & GMS
Calcofluor white stain
Fluorescent monoclonal antibody stain
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