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7 Cards in this Set

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  • Back
Molds - Inhalation danger. Any lab without bio safety cabinets can't work on molds EXCEPT dermatophytes.
4 Main criteria in mold identification: GCPB
1) Growth rate
2) Colonial and microscopic morphology
3) Presence of a yeast phase (is it dimorphic)
4) Biochemical test
Mold Classification - 3 Groups (based on hyphae):
i) Hyaline: "Like glass", septate unpigmented hyphae, majority of medically important molds
ii) Dematiaceous: Septate pigmented hyphae, brown
iii) Mucorales: Aseptate wide hyphae, lower fungi sometimes called pin molds
Hyaline Molds (very common) - Aspergillus:
4 Common species, typically produce smoky gray/green colonies, imp. causes of fulminant fungal infections in immunocompromised patients (esp chemo patients)
- Aspergillus Fumigatus: Incriminated in farmer's lung
- Aspergillus Niger : Otomycosis (fungal ear infection)
- Aspergillus flavus : May infect immunocompromised patients, also infects peanuts producing aflatoxin associated with liver carcinoma
- Aspergillus Terreus : Fourth species
Hyaline Molds - Penicillium:
- Rapid growing green colony which you often see on moldy bread
-Source of penicillin
- Penicillium marneffei
Hyaline Molds - Dermatophytes: (Tinea / Ringworm)
- Large group of fungi infecting skin, hair, nails
- caused athlete's foot, resulting skin fissuring may predispose to bacterial cellulitis
- Trichopyton, Microsporum, Epidermophyton
- Large mat of fungal infection on head = a kerion
- Jock itch commonly caused by Trichophyton mentagrophytes
- Spores everywhere, skin infections. Athletes foot DOES NOT exist in populations without shoes
Older men with lower limb cellulitis can be caused by athlete's foot
Mucorales - soil, decaying veggies
- Cause mucormycosis (fungal infection of sinuses, brain, lungs), esp in immunocompromised
- Usually begins in nose, sinuses, very rapid fungal infection spread
- Mucor, Rhizopus, Absidia, Cunninhamelia = most commonly associated with infection
Indoor Molds, "Sick Building Syndrome"
- Only immunocompromised people at risk for invasive environmental mold infection
Atopic people (allergic) can have allergic reaction too
- Unless immunocompromised or allergic, don't get illness from molds