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25 Cards in this Set

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TINEA
Dermatophytosis caused by dermatophytes - a group of fungi that infect nonviable keratinized cutaneous tissues.
What age group is primarily affected by Tinea Capitis?
Ages 3 - 9

may also be concomittantly infected with Tinea Corporis
What age group is primarily affected by Tinea Pedis?
Adolescents and young adults
What are the factors that predispose a person to fungal infections?
Warm, Moist, Occluded environments
Family History
Compromised Immune system
By what vector are fungal infections spread?
Person to person

Animal to person (prim. cats and dogs)

Inanimate objects
Where do dermatophytes only grow?
Only on or within keratinized structures.
What 5 species commonly cause fungal infections?
Trichophyton rubrum
Trichophyton tonsurans
Trichophyton mentagrophytes
Microsporum canis
Epidermophyton floccosum
Where can the 5 common species of fungal infections be found?
On:
Humans
Animals
In the soil
How do the 5 common fungal species produce fungal infection?
Production of enzymes called keratinases that allow them to digest keratin, causing epidermal scale; thickened, crumbly nales; or hair loss.
What are the general symptoms of fungal infections in hair and skin?
Pruritis
Burning
Stinging of the scalp or skin.
Inflammatory dermal reaction:
Erythema
Vesicles
How is diagnosis of a fungal infection confirmed?
10% potassium Hydroxide preparation (KOH)
Fungal culture
Wood's lamp
How is a Potassium Hydroxide test used to confirm diagnosis of fungal infection?
Lesion scale is scraped with No. 15 blade and placed on a slide.
KOH is added and the slide inspected under microscope.
What do fungi look like under a microscope?
Rod-shaped filaments with branching.
How is a Fungal Culture used to confirm diagnosis of fungal infection?
specimen is applied to a dermatophyte test medium on an agar plate. If fungal the agar plate will change color from yellow to pink or red in approx. 2 weeks.
How is a Wood's lamp used to confirm diagnosis of fungal infection?
It produces a bright green fluorescence in the presence of a tinea infection caused by Microsporum species. Only identifies Microsporum species so test is limited.
Which part of the body does Tinea Capitus affect?
Head
Which part of the body does Tinea Corporis affect?
Body
Which part of the body does Tinea Cruris affect?
Groin
Which part of the body does Tinea Manus affect?
Hand
Which part of the body does Tinea pedis affect?
Foot
Which part of the body does Tinea unguium (Onychomycosis) affect?
Nails
How does Tinea Capitis present?
Generalized, diffuse seborrheic dermatitis-like scalp scaling.
Impetigo-like lesions with crusting and redness, areas of hair loss or broken hairs
Possibly inflammatory nodules
Which ethnic group has a disproportionate amount of Tinea Capitis been diagnosed in?
African-Americans
Which fungus causes the most cases of Tinea Capitis? What is the percentage?
90% of cases are caused by Trichophyton tonsurans.
What are the other organisms involved with Tinea Capitis infection?
Microsporum Audouinii is spread from human to human

Microsporum Cania spread from animals to humans.