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23 Cards in this Set

  • Front
  • Back
Candida albicans characteristics
-yeast endogeous (mucous membranes)
-yeast forms germ tubes at 37 degrees
-forms pseudohypae and true hyphae when it invades tissues
Candida albicans disease
oral thrush, perleche
vaginitis
cutaneous infections

esophagitis, Gastritis
septicemia
chronic mucocutaneous candidiasis
endocarditis (IV drug abusers)
Candida albicans diagnosis
-KOH: pseudohyphae, true hyphae, budding yeasts
-speticemia: culture lab identification-biochem tests/germ tube formation at 37 degrees
Candida albicans treatment
imidazole(nystatin)
disseminated: amphotericin B, fluconazole
Pneumocystis jiroveci characteristics
-obligate extracellular
-opportunistic yeast
**most common opportunistic infection in AIDs patients
Pneumocystis jiroveci diseases
atypical intersitial pneumonia
Pneumocystis jiroveci diagnosis
-H&E: honey comb appearance-
-silver stain cysts
-X-ray: "ground glass" appearance (patchy infiltrative)
Pneumocystis jiroveci treatment
trimethoprim/sulfamethoxazole
aspergillus fumigatus features
-septate hyphae, 45 degrees
-mould (forms spores)
aspergillus fumigatus disease
-allergic bronchopulmonary aspergillosis (ashmatics, CF)
-fungus ball (previous infection e.g. Tb)
-invasive aspergillosis (IC, burns,CF); pneumonia, meningitis; cellulitis in burn patients
aspergillus fumigatus treatment
itraconazole or ampho B (fluconazole has no activity against it?)
crytococcus neoformans features
-yeast
-capsule
crytococcus neoformans reservoir
soil enriched with pidgeon droppings
crytococcus neoformans disease
-meningitis(most common cause in AIDs)
-acute pulmonary (usually asymptomatic)
crytococcus neoformans diagnosis
-latex particle agglutination orIndia Ink mount (capsule)
-cultures: urease +ve
crytococcus neoformans treatment
Ampho B+ flucytosine...then fluconazole
Mucor features
non-septate, right angles- hyphae
(yeast)
mucor reservoir & transmission
soil, sporangiospores are inhaled
mucor disease
-rhinocerebral infection (mucormycosis); paranasal swelling, hemorrhaging exudates from nose/eyes, mental lethargy
mucor susceptible in?
DKA patient or leukemic patient (neutropenic?)
mucor diagnosis
-KOH of tissue (ribbon like nonseptate hyphae with about ninety degree angles on branches)
mucor treatment
-debride necrotic tissue
-ampho B (DOC, no other?)
list the opportunistic fungi
-moulds: aspergillus fumigatus, mucor
-yeasts: Candida albicans, Cryptococcus neoformans, pneumocystis jiroveci