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18 Cards in this Set

  • Front
  • Back
Is cryptococcus a dimorph?
No. It can have hyphal forms but it is not a classic dimorph
What staining technique should be used to ID cryptococcus
india ink
how is cryptococcous classified
basidiomycete
Describe sexual development in C. neoformans
a and alpha mating type fuse and develop into a dikaryotic filament. The filament then forms a basidium and spores develop
What are species of Cryptococcus
C. neoformans var grubii and var neoformans
C. gattii
Where is C. neoformans found
worldwide, virtually ubiquitous
Where is C. gattii found
equatorial regions
How does infection with C. neoformans occur
inhalation of spores and/or yeast into lungs, dissemination from lungs into CNS
(less commonly needle sticks and organ transplantation it is not contagious person to person or animal to person)
What populations are at risk for Crypto meningitis
AIDS, organ transplant, Chemo
T/F the skin is a site of primary cryptococcus infection
false, skin presenations are usually the result of dissemination
T/F crypto can survive in phagocytes
true
Which immune cells are important for fighting crypto infections
CD4, CD8 T cells, NK cells
Are there preventative strategies for crypto infection
none other than environmental avoidance which is difficult
List 4 virulence determinants for crypto
1. growth at 37
2. capsule formation
3. laccase/melanin production
4. mating type alpha
Describe the role of melanin in cryptococcus virulence
1. protective against UV
2. scavage free radicals prevent oxidative damage, facilliate in vivo survival
3. there may be more substrates for melanin production in the brain which may facilitate CNS tropism
Describe the role of the capusule in crypto virulence
-production increases with characteristics of the host environment including increased temp, high CO2 and low iron
-masks other epitopoes facilitating immune evasion
-harder to phagocytose
What features of crypto spores support the hypothesis that the spores are infectious particles
-small
-kill mice
-get phagocytosed and germinate in the naieve macrophage
Describe crypto spore germination in macrophages
spores are actively phagocytosed and will germinate in naive macrophages. Macrophage activation by T cells prevents spore germination