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Micro-mycology
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Medical
Professional
05/06/2015

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Term
Dimorphic Fungi
Definition
Histoplasma capsulatum
Sporothrix schenckii
Blastomyces dermatidis
Coccidiodes immitis
Paracoccidioides brasiliensis
Penicillium marneffei
Black molds
Term
Histoplasma capsulatum
Sporothrix schenckii
Blastomyces dermatidis
Coccidiodes immitis
Paracoccidioides brasiliensis
Penicillium marneffei
Black molds
Definition
Dimorphic Fungi
Term
Molds
Definition
Aspergillus
Zygomycetes
Dematiaceous
Term
Aspergillus
Zygomycetes
Dematiaceous
Definition
molds
Term
Yeasts
Definition
Candida
Cryptococcus
Malassezia furfur
Pneumocystis jirovecii
Term
Candida
Cryptococcus
Malassezia furfur
Pneumocystis jirovecii
Definition
Yeasts
Term
Fungal culture:
Definition
Chloramphenicol: to inhibit the growth of bacteria
Cycloheximide: to inhibit the growth of contaminant fungi
Term
Chloramphenicol
Definition
to inhibit the growth of bacteria
Term
to inhibit the growth of bacteria
Definition
Chloramphenicol:
Term
Cycloheximide:
Definition
: to inhibit the growth of contaminant fungi
Term
Blastomyces dermatitidis (Blastomycosis)
Definition
Pulmonary, skin, bone
Mold: Fluffy, white-buff, prickly; Pear shaped conidia, lollipop
Yeast: Large yeast, 8-20 um, round to oval, thick double refractile cell walls, broad based bud
Term
Pulmonary, skin, bone
Mold: Fluffy, white-buff, prickly; Pear shaped conidia, lollipop
Yeast: Large yeast, 8-20 um, round to oval, thick double refractile cell walls, broad based bud
Definition
Blastomyces dermatitidis (Blastomycosis)
Term
Histoplasma capsulatum
Definition
Eastern USA, Mexico
Bat guano and bird droppings (Starlings)
95% of cases subclinical
5% Chronic progressive pulmonary, cutaneous/mucocutaneous, Chronic systemic (RESsystem) or acute fulminating systemic disease (fatal).
Mold: white to brown mycelium, cottony colony. Large and round tuberculated macroconidia, 8-16 um; small microconidia.
Yeast: small yeast, 2-4um, round to oval, consistent in size and shape, narrow neck in budding
Term
Eastern USA, Mexico
Bat guano and bird droppings (Starlings)
95% of cases subclinical
5% Chronic progressive pulmonary, cutaneous/mucocutaneous, Chronic systemic (RESsystem) or acute fulminating systemic disease (fatal).
Mold: white to brown mycelium, cottony colony. Large and round tuberculated macroconidia, 8-16 um; small microconidia.
Yeast: small yeast, 2-4um, round to oval, consistent in size and shape, narrow neck in budding
Definition
Histoplasma capsulatum
Term
Eastern USA, Mexico
Bat guano and bird droppings (Starlings)
Definition
Histoplasma capsulatum
Term
Mold: white to brown mycelium, cottony colony. Large and round tuberculated macroconidia, 8-16 um; small microconidia.
Definition
Histoplasma capsulatum
Term
Yeast: small yeast, 2-4um, round to oval, consistent in size and shape, narrow neck in budding
Definition
Histoplasma capsulatum
Term
Coccidioides immitis
Definition
SW USA, desert sands
Mold: White wooly mold; barrel shaped hyphae, arthroconidia
Yeast: Thick wall spherules, 10-80um, endospores
Very infectious to laboratory personnel
DDX: Rhinosporidium spherules, 100-300um
Term
SW USA, desert sands
Mold: White wooly mold; barrel shaped hyphae, arthroconidia
Yeast: Thick wall spherules, 10-80um, endospores
Very infectious to laboratory personnel
DDX: Rhinosporidium spherules, 100-300um
Definition
Coccidioides immitis
Term
SW USA, desert sands
Definition
Coccidioides immitis
Term
DDX: Rhinosporidium spherules, 100-300um
Definition
Coccidioides immitis
Term
South American Blastomycosis: Brazil, Venezuela, Columbia
Lung, particularly facial and nasal involvement
White buffy mold; Pyriform conidia resembling blastomyces
Large yeast w/ multiple daughter buds, “Mariner’s wheel”
Definition
Parascoccidiodes brasiliensis
Term
Parascoccidiodes brasiliensis
Definition
South American Blastomycosis: Brazil, Venezuela, Columbia
Lung, particularly facial and nasal involvement
White buffy mold; Pyriform conidia resembling blastomyces
Large yeast w/ multiple daughter buds, “Mariner’s wheel”
Term
Actinomyces israelii
Definition
Anaerobic bacteria, G+, filamentous, branching rods
Most common cause of mycetoma
Sulfur granules
Colony: Broth - bread crumb; agar plate - molar tooth
Modified AFB-
Term
Anaerobic bacteria, G+, filamentous, branching rods
Most common cause of mycetoma
Sulfur granules
Colony: Broth - bread crumb; agar plate - molar tooth
Modified AFB-
Definition
Actinomyces israelii
Term
Most common cause of mycetoma
Definition
Actinomyces israelii
Term
Nocardia brasiliensis / asteroides
Definition
Form granules in mycetoma
Colony: dry, crumbly, musty smell
G+, long, thin, filamentous, branching, beaded
Partially modified AFB+
Term
Form granules in mycetoma
Colony: dry, crumbly, musty smell
G+, long, thin, filamentous, branching, beaded
Partially modified AFB+
Definition
Nocardia brasiliensis / asteroides
Term
Black Mold
Chromoblastomycosis
Definition
Eumycotic mycetoma, trauma, black molds from the soil
Trilogy: Wart like lesions, Sclerotic bodies in tissue, Growth of dematiacious fungi
Black molds: Fonsecaea, Phialophora, Curvularia, Cladosporium, Exophiala, and Rhinocladiella
In tissue: sclerotic bodies, copper pennies, medlar bodies, brown, thick-walled with several cells, irregular cell division.
Term
Eumycotic mycetoma, trauma, black molds from the soil
Trilogy: Wart like lesions, Sclerotic bodies in tissue, Growth of dematiacious fungi
Black molds: Fonsecaea, Phialophora, Curvularia, Cladosporium, Exophiala, and Rhinocladiella
In tissue: sclerotic bodies, copper pennies, medlar bodies, brown, thick-walled with several cells, irregular cell division.
Definition
Black mold
chromoblastomycosis
Term
Black molds:
Definition
Fonsecaea, Phialophora, Curvularia, Cladosporium, Exophiala, and Rhinocladiella
Term
black mold in tissue
Definition
sclerotic bodies, copper pennies, medlar bodies, brown, thick-walled with several cells, irregular cell division.
Term
Sporothrix schenckii
Definition
Rose gardener’s disease
Mold: rapid growth, brown to black; Septate hyphae with conidia, daisy wheel pattern (rosette or flower-like).
Yeast: small, elongated, 2 –5 um, cigar bodies
Diseases: Initial skin lesion w/wo ulceration; Lympho-cutaneous spread-bone-systemic; Pulmonary – CNS.
Histology: pyogenic to granulomatous; asteroid body-Splendore Hoeppli phenomenon
Term
Rose gardener’s disease
Mold: rapid growth, brown to black; Septate hyphae with conidia, daisy wheel pattern (rosette or flower-like).
Yeast: small, elongated, 2 –5 um, cigar bodies
Diseases: Initial skin lesion w/wo ulceration; Lympho-cutaneous spread-bone-systemic; Pulmonary – CNS.
Histology: pyogenic to granulomatous; asteroid body-Splendore Hoeppli phenomenon
Definition
Sporothrix schenckii
Term
Mold: rapid growth, brown to black; Septate hyphae with conidia, daisy wheel pattern (rosette or flower-like).
Yeast: small, elongated, 2 –5 um, cigar bodies
Definition
Sporothrix schenckii
Term
Diseases: Initial skin lesion w/wo ulceration; Lympho-cutaneous spread-bone-systemic; Pulmonary – CNS.
Definition
Sporothrix schenckii
Term
Histology: pyogenic to granulomatous; asteroid body-Splendore Hoeppli phenomenon
Definition
Sporothrix schenckii
Term
Rhinosporidium seeberi (Rhinosporidiosis
Definition
Water and fish disease in India, Brazil.
Protozoa, not fungi
Chronic granulomatous infection of mucous membranes; Polypoid lesions, sessile or pedunculated.
Spherule and endospores 100-300um, larger than Coccidioides.
Endospores mucicarmine positive
Term
Water and fish disease in India, Brazil.
Protozoa, not fungi
Chronic granulomatous infection of mucous membranes; Polypoid lesions, sessile or pedunculated.
Spherule and endospores 100-300um, larger than Coccidioides.
Endospores mucicarmine positive
Definition
Rhinosporidium seeberi (Rhinosporidiosis)
Term
Chronic granulomatous infection of mucous membranes; Polypoid lesions, sessile or pedunculated.
Spherule and endospores 100-300um, larger than Coccidioides.
Endospores mucicarmine positive
Definition
Rhinosporidium seeberi (Rhinosporidiosis)
Term
Water and fish disease in India, Brazil.
Protozoa, not fungi
Definition
Rhinosporidium seeberi (Rhinosporidiosis)
Term
Candida albicans
Definition
Opportunist – skin or mucous membranes
Endogenous pathogen – NF GI, GU and skin
Thrush, vaginitis, skin lesions, endocarditis, etc
Rapid growth, 24 – 48 hrs. Bacterial like colony, pasty white
Budding yeast – oval, 7 uM in size and form, pseudohyphae (look like sausage links). Chlamydospores on cornmeal agar.
Germ tube +, β-D-galactoaminidase +, sucrose –
C. glabrata, kruseii, and tropicalis commonly resistant to fluconazole
Albicans, Tropicalis, and stellatoidea are germ tube positive
Term
Opportunist – skin or mucous membranes
Endogenous pathogen – NF GI, GU and skin
Thrush, vaginitis, skin lesions, endocarditis, etc
Rapid growth, 24 – 48 hrs. Bacterial like colony, pasty white
Budding yeast – oval, 7 uM in size and form, pseudohyphae (look like sausage links). Chlamydospores on cornmeal agar.
Germ tube +, β-D-galactoaminidase +, sucrose –
C. glabrata, kruseii, and tropicalis commonly resistant to fluconazole
Albicans, Tropicalis, and stellatoidea are germ tube positive
Definition
Candida albicans
Term
Thrush, vaginitis, skin lesions, endocarditis, etc
Rapid growth, 24 – 48 hrs. Bacterial like colony, pasty white
Definition
Candida albicans
Term
Budding yeast – oval, 7 uM in size and form, pseudohyphae (look like sausage links). Chlamydospores on cornmeal agar.
Germ tube +, β-D-galactoaminidase +, sucrose –
Definition
Candida albicans
Term
commonly resistant to fluconazole
Definition
C. glabrata, kruseii, and tropicalis
Term
C. glabrata, kruseii, and tropicalis
Definition
commonly resistant to fluconazole
Term
germ tube positive
Definition
Albicans, Tropicalis, and stellatoidea
Term
Tinea versicolor (Pityriasis versicolor)
Definition
Malassezia furfur, NF on the skin, especially oily skin.
Disease (1) Skin: hypo or hyper pigmentation; (2) Fungemia in neonates on IV lipid feeding in central lines.
Culture: Lipophilic yeast, need medium and long chain fatty acid. Small budding yeast 2-4 uM, broad base single bud with circumferential thickening at bud (collarette)
Urease+
Term
Malassezia furfur, NF on the skin, especially oily skin.
Disease (1) Skin: hypo or hyper pigmentation; (2) Fungemia in neonates on IV lipid feeding in central lines.
Culture: Lipophilic yeast, need medium and long chain fatty acid. Small budding yeast 2-4 uM, broad base single bud with circumferential thickening at bud (collarette)
Urease+
Definition
tinea versicolor (pityriasis versicolor)
Term
spaghetti and meatballs
Definition
M. furfur
Term
Disease (1) Skin: hypo or hyper pigmentation; (2) Fungemia in neonates on IV lipid feeding in central lines.
Definition
tinea versicolor
Term
Culture: Lipophilic yeast, need medium and long chain fatty acid. Small budding yeast 2-4 uM, broad base single bud with circumferential thickening at bud (collarette)
Definition
tinea versicolor
Term
Dermatophytes
Definition
tineas/ringworm
Term
Microsporum canis
Definition
Tuberculate macroconidia
Multicellular
Few microconidia
Spiny (tuberculated)
Term
Tuberculate macroconidia
Multicellular
Few microconidia
Spiny (tuberculated)
Definition
Microsporum canis
Term
Trichophyton
Definition
Pencil shaped Macroconidia
Many microconidia
Term
Pencil shaped Macroconidia
Many microconidia
Definition
Trichophyton
Term
Epidermophyton
Definition
Macroconidia, nonspiny
No microconidia
Beaver-tail like
Term
Macroconidia, nonspiny
No microconidia
Beaver-tail like
Definition
epidermophyton
Term
Cryptococcus neoformans
Definition
Pigeon, chicken or turkey droppings
Enters through pulmonary system
Disease: CNS, blood in immunocompromised host, AIDS
Great variability in size and shape 2 – 20 um, daughter cells attached by narrow thread
Detection:
Polysaccharide capsule
India ink – negative staining method
Cryptococcal antigen test, galactoxylomannan, CSF and blood
Culture: grows well on all agars, mucoid colonies
Mucicarmine +, urease +, inositol +
Term
Pigeon, chicken or turkey droppings
Enters through pulmonary system
Disease: CNS, blood in immunocompromised host, AIDS
Great variability in size and shape 2 – 20 um, daughter cells attached by narrow thread
Detection:
Polysaccharide capsule
India ink – negative staining method
Cryptococcal antigen test, galactoxylomannan, CSF and blood
Culture: grows well on all agars, mucoid colonies
Mucicarmine +, urease +, inositol +
Definition
cryptococcus neoformans
Term
Disease: CNS, blood in immunocompromised host, AIDS
Great variability in size and shape 2 – 20 um, daughter cells attached by narrow thread
Definition
Cryptococcus neoformans
Term
Pigeon, chicken or turkey droppings
Enters through pulmonary system
Definition
Cryptococcus neoformans
Term
Detection:
Polysaccharide capsule
India ink – negative staining method
Cryptococcal antigen test, galactoxylomannan, CSF and blood
Definition
Cryptococcus neoformans
Term
Culture: grows well on all agars, mucoid colonies
Mucicarmine +, urease +, inositol +
Definition
Cryptococcus neoformans
Term
Aspergillus
Definition
Hyaline, septate, 45 degree branching.
Vasoinvasive, thrombosis, infarctions, supprative inflammation
Term
Which aspergillus is amphotericin resistant?
Definition
A. terreus
Term
Hyaline, septate, 45 degree branching.
Vasoinvasive, thrombosis, infarctions, supprative inflammation
Definition
Aspergillus
Term
club-shaped vesicles with sporulation on top half of vesicles
Definition
A. fumigatus
Term
phialides arise from entire circumference of vesicle. two rows of phialides
Definition
A. flavus
Term
circumferential phialidies
Definition
A. niger
Term
Mucormycosis
Definition
Angiotropic, rhinocerebral, pulmonary, skin, GI.
Predisposing factors: DKA, debilitating, burns, iron overload.
Broad, 6-50 um wide, thin-walled, hyaline, often aseptate or sparsely septate; the contours of the hyphae are typically non-parallel and branches are irregular.
• Family Mucoraceae
Rhizopus species
Mucor species
Rhizomucor pusillus
Absidia corymbifera
Apophysomyces elegans
• Family Cunninghamellaceae
Cunninghamella bertholletiae
• Family Saksenaea
Saksenaea vasiformis
Term
Angiotropic, rhinocerebral, pulmonary, skin, GI.
Predisposing factors: DKA, debilitating, burns, iron overload.
Broad, 6-50 um wide, thin-walled, hyaline, often aseptate or sparsely septate; the contours of the hyphae are typically non-parallel and branches are irregular.
• Family Mucoraceae
Rhizopus species
Mucor species
Rhizomucor pusillus
Absidia corymbifera
Apophysomyces elegans
• Family Cunninghamellaceae
Cunninghamella bertholletiae
• Family Saksenaea
Saksenaea vasiformis
Definition
Mucormycosis
Term
Family Mucoraceae
Definition
Rhizopus species
Mucor species
Rhizomucor pusillus
Absidia corymbifera
Apophysomyces elegans
Term
Rhizopus species
Mucor species
Rhizomucor pusillus
Absidia corymbifera
Apophysomyces elegans
Definition
Family Mucoraceae
Term
Broad, 6-50 um wide, thin-walled, hyaline, often aseptate or sparsely septate; the contours of the hyphae are typically non-parallel and branches are irregular.
Definition
Mucormycosis
Term
Angiotropic, rhinocerebral, pulmonary, skin, GI.
Predisposing factors: DKA, debilitating, burns, iron overload
Definition
Mucormycosis
Term
root-like rhizoids at the base of sporangiophores
Definition
Rhizopus
Term
RHIZOPUS
Definition
Saprophytic (able to live on decaying organic matter).
Broad Hyphae
3-25 um in diameter; average 12 um.
Infrequently septate, with nonparallel sides.
Hyphae may appear distorted with swollen cell or compressed, twisted, and folded.
Rhizoids present
Long sporangiophores; usually unbranched.
Sporangiophores originating just above rhizoids.
Thick-walled chlamydospores (15-30 um in diameter) may form.
Special fungal stains (GMS, GF, PAS) generally work poorly.
Rapid growth rate; matures within 4 days.
Growth is inhibited by cycloheximide.
Colonies are usually white to cream to gray-pigmented
Term
Saprophytic (able to live on decaying organic matter).
Broad Hyphae
3-25 um in diameter; average 12 um.
Infrequently septate, with nonparallel sides.
Hyphae may appear distorted with swollen cell or compressed, twisted, and folded.
Rhizoids present
Long sporangiophores; usually unbranched.
Sporangiophores originating just above rhizoids.
Thick-walled chlamydospores (15-30 um in diameter) may form.
Special fungal stains (GMS, GF, PAS) generally work poorly.
Rapid growth rate; matures within 4 days.
Growth is inhibited by cycloheximide.
Colonies are usually white to cream to gray-pigmented
Definition
RHIZOPUS
Term
Broad Hyphae
3-25 um in diameter; average 12 um.
Infrequently septate, with nonparallel sides.
Hyphae may appear distorted with swollen cell or compressed, twisted, and folded.
Definition
RHIZOPUS
Term
Long sporangiophores; usually unbranched.
Sporangiophores originating just above rhizoids.
Thick-walled chlamydospores (15-30 um in diameter) may form.
Definition
rhizopus
Term
Special fungal stains (GMS, GF, PAS) generally work poorly.
Definition
rhizopus
Term
Rapid growth rate; matures within 4 days.
Growth is inhibited by cycloheximide.
Definition
rhizopus
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