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5 Cards in this Set

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Pathogenesis of subcutaneous mycoses

1.Fungi is introduced to skin via trauma


2.development of local lesion (pastule,abscess,ulcer )


3.moves to the lymphatic system


4.lymphatic system becomes thickened and cord like


5.multiple abscess occurs along the lymphatic

How to avoid tinea infection

1.Expose the skin to air as much as possible


2.Wear cotton sock instead of synthetics


3.Clean shower


4.Wear thogs


5.Don't share towels


6.Don't walk bare foot of if you have tinea pedis



Mention tinea management pitfalls

Don't use nystatin since dermatophyte are resistant to it


Don't use oral ketoconazole due to hepatotoxicity(cyp450 inhibitor)


Don't use combination of methadisone and clotrimazole it increase infection


Don't treat unconfirmed tinea capitis


Don't use griseofulvin

Refer to microbiology notes slide 28

Coccidiodes immitis

Coccidiodes immitis is the soil fungi


They form cotton colony in saboaurad agar


Most common in southern USA and Latin america


Pathogenesis


Is due to two antigens


1.spherulin


2.coccidiodin


These antigen are also used in test


The disease in airborne


First it invade the 🫁 followed by asymptomatic phase 1%of infection may disseminate and cause lesion like TB


CLINICAL FEATURES


1.fever


2.ache


3.malaise


4.cough


5.valley fever



LABORATORY FINDINGS


1.microscopy presence of spherulin


2.culture subauraud agar is used


3.innoculation to animal such as mice


4.serology


5.skin test

Wewe ni nani

Mimi ni awena masoud nassoro