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E. Smith- Fungal Diseases
Fungal Diseases
51
Pathology
Graduate
10/25/2009

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Cards

Term
How can you diagnose fungal diseases?
Definition

microscope

culture (Sabouraud's agar)

PAS mucin and Silver stains

KOH solution with infected fluid

Term
What fungus occasional buds unequally?
Definition
histoplasma
Term

What fungus has narrow based unequal budding and a capsular halo?

Definition
crytococcus
Term
what does mycoses mean?
Definition
Fungal disease
Term
Where does a superficial fungus stay in the body?
Definition
skin-stratum corneum and skin appendages
Term

Where does a cutaneous or subcutaneous fungus stay in the body?

Definition
skin but can spread to other sites
Term

superficial fungal infections are caused by Dermatophytes which include?

Definition

Microsporum

Trichophyton

Epidermophyton

Term
A wood's lamp aids in the diagnoses of which fungal infection?
Definition
Tinea capitis
Term
what does tinea corporis look like?
Definition
expanding, round, slightly erythmatous plaque with elevated scaling border
Term
what does tinea versicolor look like?
Definition
macules, lighter or darker than surrounding skin with fine peripheral scaling
Term
What is tinea versicolor caused by?
Definition
Malassezia furfur
Term
What is the common name for tinea pedis?
Definition
athlete's foot
Term
What is tinea unguium or onchymycosis?
Definition
a fungus under the nail
Term
Tinea barbae is what?
Definition
 fungal infection of the hair
Term
What would you see with a positive fungal infection specimen of skin in KOH?
Definition
branching of hyphae
Term
What is the prototype for subcutaneous mycosis?
Definition
sporotrichosis-usually found in rotting vegetation on bark and thorns
Term

T/F

 

sporotrichosis can spread to the lymphatics?

Definition
True
Term
What kind of granuloma forms with sporotrichosis?
Definition
granuloma with macrophages and giant cells surrounded lymphocytes and plasma cell with central neutrophils
Term
What could you see with systemic Candidiasis?
Definition

micro-abscesses composed of yeasts

psuedo hyphae

necrotic debris

and neutrophils

Term
What are some risk factors for systemic Cadidiasis?
Definition

neutropenia

bone marrow transplant

immunosuppressed

corticosteroid use

severe burns

organ failure

antibiotic use

Term
How can you detect Candidiasis?
Definition

urine

and culture

Term
What does mucocutaneous lesions of Candidiasis look like?
Definition
white patches on a red base
Term
where is cryptococcosis abundant?
Definition
areas with pigeon excreta
Term
Where do 95% of the infections for cryptococcosis go in the body?
Definition
brain
Term
What is cryptococcal meningoencephalitis characterized by?
Definition

cerbral edema

gelatinous thick meninges

Term
how can you visualize cryptococcal meningoencephalitis?
Definition

PAS and silver stain-halo around it

Mucicarmine to stain capsule

India ink for CSF

Term
How does Aspergillosis appear in tissue?
Definition

septate hypae with acute angle branching

fruiting bodies

Term
what is aflatoxin?
Definition
a possible carcinogen from aspergillus
Term
allergic disease with asthma to aspergillus will have?
Definition

elevated serum IgE

peripheral eosinophilia

Term
What is alveolitis?
Definition

hypersensitivity rxn in susceptible ppl 

inflammatory rxn of lymphocytes and plasma cells in septa

serum anti-Aspergillus IgG Ab

Term

T/F

aspergillus can cause hemoptysis?

Definition
true
Term
What is known as the bread mold fungus?
Definition
mucormycosis
Term

what patients are affected by 

mucormycosis?

Definition

DM

leukemia

lymphoma

Immune deficient

use corticosteroids/cytotoxic drugs

Term
what are some mucormycosis fungi?
Definition

Rhizopus

Absidia

Mucor

Etc

Term

mucormycosis are stained with?

Definition

heatoylin

silver stain

Term
How does mucormycosis appear in tissue?
Definition
broad, thin wlled pleomorphic hyphae with irregular contours, haphazard branching
Term
How does mucormycosis lesions often show?
Definition

vascular invasion

thrombosis and infarction of tissue with coagulative necrosis and neutrophilic infiltrates

Term
which fungus infects by inhalation of cyst stage, with trophozoites in alveoli, multiply and attach to type 1 pneumocytes
Definition
Pneumocystosis
Term

T/F

 

pneumocystosis is non-pathogenic in persons with normal immunity

Definition
true
Term
what are some risks for developing pneumocystosis?
Definition

HIV/AIDS

lymphoproliferative disorders

immunosuppression

cytotoxic chemotherapy

high corticosteroidsof cushing's disease

Term
What does a lesion of pneumocystosis look like?
Definition

diffuse interstitial pneumonia

alveolar space filled with foam/desquamated cells/parasites

Term
What is the source of amebiasis?
Definition

food and water

 

cell wall ingested by gastric juices

Term
Where in the GI do amebiasis usually go?
Definition

COLON-ulcers

liver

lungs

Term
How do you dx amebiasis?
Definition
look for trophozoite or cyst in stool
Term
Can amebiasis cause encephalitis?
Definition

yes

 

can get from swimming

Term
amebiasis is caused by which bugs?
Definition

Acanthamoeba castellanii

Entamoeba histolyica

Naegleria fowleri

Term
What are the risk factors for Giardia?
Definition

low IgA

Day care

Term
Where do Giardia teardrop-shaped trophozoites attach to?
Definition
epithelium of duodenum and upper jejunum 
Term
Cryptosporidiosis are most common in which part of the body?
Definition

terminal ileum and proximal colon

(usually brush border and lamina propria)

Term

Does Trichomoniasis

have a cyst form?

Definition
no
Term
Trichomoniasis presentation in women?
Definition

itch

burning

dysuria

yellow discharge

strawberry mucosa

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