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HHD FUngal respiratory infect
RESPIRATORY INFECT
47
Medical
Professional
03/12/2009

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Term
opportunistic mycelial fungus
Definition
asperfillus
scedosporium
zugomycetes
fusarium
Term
opportunistic yeasts
Definition
candida, cryptococcus
Term
endemic mycoses
Definition
histoplasma
cocci
paraococci
blastomycoses
Term
endemic organisms
Definition
tend ot be soil organims, airborne
true pathogens, causing disease in healthy hosts and more severe in immuno compromised
restricted niches
new infection and reactivation can occur with most (once you are infected for life)endemic mycoses
Term
blasto range
Definition
minnesota- nc
Term
histo range
Definition
michigan to texas
Term
endemic are never ____ contaminants
Definition
lab unliek aspergillus
Term
diagnosis of endemic mycoses
Definition
culture, see in tissue, blood culture
candida histo, crypto found in blood
aspergillus, cocci, paracocci never inblood
Term
histoplasmosus capsulatam
Definition
biphasic mold ing orund to yeast in body
sabourad's agar
itraconazole
flucanazole
amphtericin
inside macrophage
respiratory pass
rather mild
michigan to texas
sotuh america
Term
histo lecture slide
Definition
orimary acute infection
airborne25 degree mold
37 yeast
fungus ball histoplasmoma
mass in mediastinum
mediastinal fibrosis
progressive disseminated histoplasmosis
all this mostly in immunocompromised patients
ocular?
Term
pathagnemonic for hispoplasma capsalatum
Definition
Gomori methanimine stain macroconidia histoplasmosis
Term
think of one test histoplosmosis
Definition
atibody test. classic diagnose test antigen inblood or urine
Term
hotel in mexico
Definition
excrement from bats cause hcapsulatum
Term
erythema nodosum
Definition
mostly women
shins
redness
cocci
fungi
raised nodules anterior shin
showin in the context of histoplasmosis.
Term
where do histoplasma liek to go besides lungs?
Definition
adrenal glands
Term
if you have adrenal involvmentor
gastric ulcer, ulcer in the gi tract that does not go away
Definition
histoplasma or
gastric ulcer, ulcer in the gi tract that does not go away
Term
treatment of histo
Definition
amphotericin b and itraconozole
Term
coccidioides immitis
Definition
central valley california
some in central and south america some in venezuela
more disease in sotuthwest
Term
cocci diseases
Definition
meningitis
pneumonia
septic arthritis
skin lesions
Term
cocci under scope
Definition
koh
organisms tight against each other
Term
cocci capsule
Definition
collects a number of organisms together to live together
Term
positve IGm and negative IGD
use the IGd level
Definition
use the igd level to follow therapy
we use antibody for cocci...we use antigens for histo
Term
treatment of cocci
Definition
aphotericin b
intirconasole
fluconazole
Term
cocci in the lungs
Definition
think of common causes...doesn;t get better think cocci
causes mass and nodule.
Term
prediction cocci-hiv
Definition
thought they would see a lot
didn't happen
Term
how do we determine which kind of pneumonia?
bal
bronchoscopy
trans thoracic
video thoracic
lung biopsy
Definition
bronchoalveolar lavage
trans bronchi tissue get
trans thoracic biopsy
Term
skin lesions
Definition
cocci
Term
joints
Definition
cocci
Term
meningitis
Definition
cocci
not histo
Term
blastomycoses
Definition
minnesota to florida
pulmonary skin
bne and joint
cns
especially genitourinary tract
Term
histo special blasto
Definition
budding of the cell
Term
treatment of blasto
Definition
amphtericin b incanozole
Term
paracocci
Definition
south america
columbia
Term
special staining of paracocci
Definition
pilot wheel
Term
treatment of paracocci
Definition
same
amphotericin b etc
Term
cryptococcus
Definition
cns
pulomonary
bone
disseminated
first cause of minigitis in aids
patients
Term
special stain of crypto
Definition
india ink
Term
best way to diagnose crypto
Definition
antigen
(liek histo) buds liek blasto
Term
only antigens for histo and crypto!!!
Definition
Term
aspergillus (opportunistic)
Definition
mycelial
ubiquitous mold
cecomposing vegetable material
no mary jane
Term
aspergillus can be allergy or
Definition
invasive
Term
liek histoplasma aspergillus can form
Definition
aspergilomma
Term
conidia structure pathognemonic for
Definition
Aspergillus
Term
invasive aspergillus in heart transplants
Definition
very very bad
vodyconzole
Term
most common yeast in immuno compromised patients
Definition
candida
Term
doc assumed it was candida when it was actually crypto
Definition
acinocandines won't work against crypto
Term
___ ____ species of candida are ont he rise and may be insensitive to flucanozole
Definition
non albacans
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