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fungi lecture 2 - opportunistic fungal infections
candida albicans, pneumocystis jirovecii, systemic mycoses, aspergillosis, and zygomycosis
29
Biology
Graduate
04/13/2011

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Term
basics of candida albicans
it is part of normal _____
it ______ humans shortly after birth
candida albicans is most common candida species in infections, candida ________ is next in frequency
it is _______, can exist as yeast cells, pseudohyphae and true hyphae
Definition
normal flora
colonizes
glabrata
dimorphic
Term
germ tube; importance of
Definition
an outgrowth or beginning of a hyphae that is characteristic of C. albicans;

importance:
germ tubes have a role in pathogenesis--have antigens and proteins on its surface to colonize mucosal cells (in GI, vagina) and plastic surfaces (in hospital)
Term
integrin like molecules
Definition
found on C. ablicans, help attachment to RGD amino acid sequence on epithelial extra-cellular matrix
Term
if candida colonizes before normal flora, infants can develop symptoms such as __________ and _______________
Definition
oral thrush, severe diaper rash
Term
cutaneous candidiasis in adults happens on places such as __________ and ________
Definition
skin folds and nails
Term
two major factors increasing a woman's susceptibility to vaginal-mucosal candidiasis vaginally
Definition
her use of antibiotics--which will disrupt the normal flora
pregnancy
Term
other risk factors for mucosal candidiasis in adults (besides pregnancy and antibiotics)
Definition
corticosteroid treatment, diabetes
Term
systemic candidiasis
Definition
caused by indwelling catheters, can spread to heart--needs to be addressed; most common systemic mycosis----candidiasis
Term
why does chronic mucocutaneous candidiasis occur?
Definition
altered cellular immune response--cellular immune system is not capable of keeping it under control
Term
T or F
Pneumocystis jirovecii is only in humans.
Definition
T
P jirovecii is only found in humans
P carinii is in animals such as rats
Term
Pneumocystis jirovecii is an opportunistic fungus, but it also resembles protozoans.
List two reasons Pneumocystis jirovecii is classified as Fungus.
Definition
Similar morphological features, chitin in the cell well, similar mitochodrial DNA
Term
In what ways does Pneumocystis resemble protozoa
Definition
Susceptibility to anti-protozoans and
Non-susceptibility to anti-fungal chemotherapeutic agents
Term
How many sporozoites are found the mature Pneumocystis jirovecii cyst
Definition
eight
Term
nearly all of us are infected with Pneumocystis jirovecii latent, yet opportunistic pathogens. What is the evidence for this statement.
Definition
we have the antibodies for it
it becomes a problem in immunocompromised patients and premature infants
Term
in the clinical manifestation of pneumocystis, alveoli are filled with cells, organisms, fluid and death is caused by _________
Definition
asphyxia, i.e. unable to breathe
Term
systemic mycoses
initially they infect the _______. But they can spread to other organs in a process called ____________
Definition
lung, secondary organ tropism
so lung initially;then secondary organ tropism happens if they become systemic and go through other organs
Term
What are five systemic mycoses
Definition
Cryptococcus neoformans
Histoplasma capsulatum
Coccidioides immitis
Blastomyces dermatidis
Paracoccidoides brasiliensis
Term
T of F
Systemic mycoses are considered part of the normal flora
Definition
False!

They are not part of the normal flora; they are geographical (like Paracoccidioides brasiliensis (brazil))
Term
Histoplasma capsulatum is found in bats and soil contaminated with _________
Definition
bat and bird Droppings. high nitrogen content promotes fungus growth
Term
In histoplasma capsulatum
spores from the _______
initially infect the _______
they grow in __________ macrophages
can involve the _____________ system
are found in people by the ________________ river
once caused bleeding in the professor's __________
Definition
soil
lungs
phagocytic (picture from lecture of bone marrow phagocytes)
reticulnoendoithelial system (i.e. the mononuclear phagocyte system)
Mississipi
eyes
Term
this fungi is found in the soil of restricted desert-like conditions -- arizona, new mexioo, california san joaquin valley
Definition
what is Coccidioides immitis
“Valley Fever” or “Desert Rheumatism”
can be severe if it goes systemic
Term
these fungi are large distinct spherules inhaled into the lungs

they contain multiple endospores

they cause multiple skin lesions
Definition
what is coccidioides immitis
Term
Cryptococcus neoformans is found where?
Definition
worldwide
in soil contaminated with high Nitrogen content of pigeon and bird-poop (not in the birds themselves)
Term
name a systemic mycoses that has a capsule
name a systemic mycoses that doesn't have a capsule
Definition
cryptococcus neoformans does have a capsule

the Histoplasma capsulatum doeesn't have a capsule (the name is misleading)
Term
along with causing raised skin lesions, cryptococcus neoformans is the most common cause of fungal _____________ and antigens are detected in the _______________

AIDS patients are at higher risk for this
Definition
meningitis; CSF
Term
blastomyces dermatitidis is found where?
Definition
limited
to North America and
parts of Africa.
found in bird poop, but not quite as prevalent as Histoplasma capsulatum

dogs are susceptible

(lungs--then systemic--can cause ugly cutaneous lesions)
Term
moving away from systemic mycoses...
how about aspergillosis--where is this found?
Definition
ventilation ducts, a potential problem in hospitals (nosocomial infections)

fungus balls in the cavity of a lung, removed surgically

lining the blood vessels

and may even invade brain tissue,

Aspergillus infection in the brain makes a dark spot
Term
Predisposing factors for Zygomycosis
Definition
diabetes, burns, immunosupression
Term
T of F
Zygomycosis is abundant in the environment

T or F
Zygomycosis is a serious nosocomial infection.

T or F
Zygomycosis in The blood vessels, eye, central nervous system, nose, sinuses and lungs are the tissues most commonly involved.
Definition
T
T
T
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