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Cards In This Set
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 Black Piedra White Piedra Tenea nigra (black palms/soles) Tenea/Pityriasis versicolor (pigment change) Match: A) Exophiliala weneckii B) Trichisporon beigelli C) Malassezia furfur D) Piedraia hortae |
Black Piedra
D) Piedraia hortae
White Piedra
B) Trichisporon beigelli
Tenea nigra (black palms/soles)
A) Exophiliala weneckii
Tenea/Pityriasis versicolor (pigment change)
C) Malassezia furfur
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 SIte of cutaneous infection? Tinea Capitis: Tinea Barbe: Tinea Coprus: Tinea Cruris: Tinea pedis: Tinea unguium: What are the etiological agents? |
Tinea Capitis: head
Tinea Barbe: beard Tinea Coprus:body (ring worm) Tinea Cruris: perineum (jock itch) Tinea pedis: feet (athletes foot) Tinea unguium: nails Agents: Microsporum, Epidermophyton, Trichophyton Trich-ky mircospore on your epidermis |
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Subcutaneous Mycoses Lymphocutaneous sporotrichosis (sporothrix) Nodules alone lymph channel Chromoblastomycosis (fonsecaea, cladosporium) Warty cauliflower lesions Eumycotic mycetoma (pseudallesceria, maduerella) Purulent sinus track, sulfur granules |
Nada
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 Immunocompromised pt (low PMN) inhales spore of narrow septated hyphae mold with acute angle branching. The pt develops one of three syndromes. Name the fungus and the syndromes. |
Apergillus
Aspergilloma (in photo): fungus ball in lung, hemptosis Allergic Bronchopulmonary aspergillosis: asthma Invasive aspergillosis: lungs, sinus, systemic (infacts) |
 Immunocompromised pt (low PMN) get an infecion form endogenous fungus after taking Abx and getting a catheter removed. |
Candida
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Name the most common Interstitial pnuemonia in a HIV pt (T cell deficient). Looks like a fungus but treat with--?
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Pneumocystis Jirovecii. treat with anti-protozoal meds
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 Right angle branching fungus in an immunocompromised pt Seen in Diabetes with ketoacidosis Presents as pneumonia in neurtopenic pt Cuases skin infection in truama, burns |
Zygomyces (mucor-> non-septated)
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 In Mississippi pt Inhaled spore, dimorphic fungi, with primary lung infection in healthly person. May disseminate to skin, bone, GI. |
Blastomyces dermatitidis
blastocyst divides with equal cells |
 HIV pt goes to Az for vacation comes back with pneumonia, then disseminates. Inhaled spore causes lung infecion with cavitations. Often dissemiates in AIDS, dark skinned or Pregnant person. Notice the spirule full of endospores. |
Coccidiodes immitis
spirule are cocci shaped like a dark pregnant lady |
 Bird and Bat feces in soil is inhaled causing lung infection in 5% of people. Disseminated disease, as seen in photo, in HIV+ pts |
Histoplasma capsulatum
count histoplams-> bats |
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Cut by the thorns of a rose or barberry pt devlopes nodes along lymph channel. The culture turns black.
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Sporothrix schenckii
thorny belatrix wore black |
 In C/South America pts inhades spores and get lung infection. seen in photo. |
Paracoccidioides brasilienesis
take a boat (mariner's wheel) to brasil (fungi and region) |
 Pigeon poop under the red gum tree in and HIV pt (low T cells) will cause pneumonia, menigitis and disseminated disease. Stained with india ink |
Cryprococcus neoformans
A coccus in crypt will be a dark as india ink |
