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80 Cards in this Set
- Front
- Back
What are the pathogenic members of the keratinophilic soil fungi, in which microsporum and trichophyton, and epidermophyton are a part of?
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Dermatophytes
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How does infection from fungi occur?
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Contact with arthospores or conida
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Asexual spores formed in the hyphae of the parasitic stage
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Arthrospores
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Sexual or asexual spores formed in the "free living" environmental stage
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Conidia
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How does infection from dermatophytes begin?
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Through growing hairs or stratum corneum of the skin since resting versions do not have the needed nutrients for growth
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In regards to the spread of fungi; _____ spread in the hairs and keratinized skin, eventually developing _____ _____
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Hyphae
Infectious arthrospores |
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What are dermatophyte infections referred to in humans?
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Tinea infections and are classified by area involved
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Most often seen in children, A dermatophyte infection of the hair and scalp.
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Tinea capitis
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Also known as ringworm a dermatophyte that occurs on the trunk, extremities and face
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Tinea corporis
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A dermatophyte infection of the hairs and skin in the beard and mustache area, and is usually seen in men
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Tinea barbae
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A dermatophyte that is seen on the nonbearded parts of the face
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Tinea faciei
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A dermatophyte infection of the groin, commonly called jock itch
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Tinea Cruris
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A dermatophyte infection of the foot (athletes foot)
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Tinea pedis
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A dermatophyte infection of one or, occasionally, both hands
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Tinea magnum
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A dermatophyte infection of the nail
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Tinea Unguium
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What is the most anti-mycotic (anti-fungal) agent?
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Griseofulvin
Must be taken in pill form |
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What are some common characteristics which distinguish fungi?
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Eukaryotic
Complex cell wall All forms are gram-positive Grows in Sabouraud's medium Contains both DNA and RNA |
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What are the two types of fungi?
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Yeasts
Molds |
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What is the fungi that grows as a single cells that reproduce by asexually budding
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Yeasts
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What is the fungi with long filaments (hyphae) which form a mat-like structure that is referred to as _____
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Molds
Mycelium |
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A characteristic of some fungi, meaning that they form different structures at different temperatures. Exists as molds in the free-living state at ambient temperatures and as yeasts in host tissues at body temperature.
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Dimorphism
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What are the major dimorphic pathogens?
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Blastomyces
Histoplasma Coccidioides Candida |
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How do most fungi reproduce?
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Asexually by forming conidia (asexual spores)from the sides of specialized structures called conidiophores.
Conidia help in the identification of fungi |
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Some fungi reproduce sexually by mating and forming _____ _____.
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Sexual spores
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What are some examples of Sexual fungal spores?
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Zygospores
Blastospores Basidiospores |
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All fungi except for those belonging to the class _____, are septated.
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Zygomycetes
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What does the cell walls of most fungi contain?
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Chitin and beta-1:3-linked glucan
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What resides in the fungal membrane which is often the target of most antifungals?
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Sterols (ergesterol)
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What type of reaction is initiated by Fungal infections?
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Type IV delayed hypersensitivity reactions
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What is commonly formed in response to a fungal infection?
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Granulomas
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Unlike bacterial spores, most fungal spores are completely killed when heated at ______ for _____
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80 C
30 minutes |
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The form that fungi takes that allows them to survive extreme environmental conditions, and may also play a role in the transmission of fungal infections.
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Spore-producing fungi
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What are some examples of asexual fungal spores (conidia)?
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Arthrospores
Chlamydospores Blastospores Sporangiospores |
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A type of spore formed by fragmentation of the ends of hyphae; and are the mode of transmission of Coccidioides immitis
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Arthrospores
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A type of spore that is thick-walled and quite resistant to environmentalchanges; characteristic of Candida albicans
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Chlamydospores
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A type of spore formed by budding, as in yeasts; multiple buds are called pseudohyphae (characteristic of C. albicans also)
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Blastospores
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A type of spore formed within a sac on a stalk by molds such as Rhizopus and Mucor
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Sporangiospores
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What is a large sexual spore with thick walls?
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Zygospores
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What is a sexual spore formed in sacs which are called an ascus
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Ascospores
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What is a sexual spore formed externally on the tip of a pedestal called basidium?
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Basidiospores
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Coccidioidomycosis first infects a person's what?
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Lungs
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An infectious disease caused by inhaling spores of a fungus called _____ _____. The disease starts out as a respiratory illness and may progress to a persistent infection.
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Coccidiodomycosis
Coccidioides immitis |
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What is the most severe form of Coccidiodomycosis and is often fatal.
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Disseminated Coccidioidomycosis
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What is Coccidioidomycosis also referred to?
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Valley fever or San Joaquin Fever
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What are the anti-fungal medications used to treat Coccidioidomycosis?
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Amphotericin B
Fluconazole Ketoconazole Itraconazole |
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Disease caused by a fungus, _____ _____, which is found in parts of the south-central, south-eastern and mid-western United States. The infection is spread by inhalation of airborne conidia (spores) after disturbance of contaminated soil.
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Blastomycosis
Blastomyces Dermatitidis |
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What are some other names for Blastomycosis?
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Gilchrist's disease or North American blastomycosis
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True/False:
Blastomycosis is known to be transmitted from person to person. |
False it is not known to travel from person to person
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What is used in the treatment of Blastomycosis with mild to moderate symptoms?
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Itraconazole
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A disease caused by the fungus _____ _____, which is found throughout the world and is endemic in Ohio and Mississippi river valleys.
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Histoplasmosis
Histoplasma capsulatum |
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Although it is usually asymptomatic what can Histoplasmosis cause?
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Granulometous, tuberculosis-like infection which frequently causes pulmonary nodules
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What are the antifungal medications for Histoplasmosis?
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Amphotericin B
Fluconazole Itraconazole |
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In infected tissues, yeast cells of Histoplasma capsulatum are found within _____.
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Macrophages
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What does Histoplasmosis resemble both clinically and pathologically?
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TB
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What does Histoplasma capsulatum produce?
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Chlamydospores
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What types fungal diseases are rarely acquired from another individual?
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Histoplasmosis
Blastomycosis |
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What type of fungi are poorly controlled diabetics likely to acquire?
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Mucormycosis
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A rare but often fatal disease caused by certain fungi. Sometimes called zygomycosis or phycomycosis. They are not dimorphic, and are morphalogically characterized by the lack of septa in their hyphae.
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Mucormycosis
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In what type of patients does Mucormycosis develop?
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Those with weakened immune systems, diabetes, kidney failure, organ transplants, or chemotherapy for cancer.
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What can possibly develop in patients receiving an iron chelating drug called desferrioxamine (Desferal) as treatment for acute iron poisoning?
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Murcormycosis
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What are the syndromes associated with Murcormycosis?
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Rhinocerebral infection (infection of the brain and sinuses)
- start as sinus infection - moves to inflammation of CN's - Cause blood clots that block brain |
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What are the other opportunistic fungi that normally fail to induce disease in most normal persons but may do so in people with severely suppressed immune systems are.
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Cryptococcus
Aspergillus Candida |
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An oval, budding yeast and is not dimorphic. more common than other fungal infections, and is severe only in people with underlying immune system disorders, such as AIDS. May spread esp. to the meninges, where the resulting disease is _____ _____.
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Cryptococcus neoformans which causes Cryptococcosis
Cryptococcal meningitis |
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Causes an aspergilloma (fungus ball) in the lungs and _____. Exists only as molds and are not dimorphic. They cause pulmonary infections in people who have AIDS or have undergone organ transplant.
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Aspergillus es. A. fumigatus
Aspergillosis |
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What is the most important species of candida?
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Candida Albicans
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Disease that causes thrush, vaginitis, and other diseases. It is an oval yeast with a single bud. Those with overgrowth that have impaired host defenses produce _____.
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Candida Albicans
Candidiasis |
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Aflatoxins are naturally occuring mycotoxins that are produced by many species of...
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Aspergillus
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What are the best known and most intensively researched mycotoxins in the world?
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Aflatoxins
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What kind of toxins are Aflatoxin?
What produces it? |
They are hepato-carcinogen toxins
Aspergillus flavus. |
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What do aflatoxins cause?
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- Liver Damage
- Tumors in animals - Suspected of causing hepatic carcinoma in humans |
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What do aflatoxins do?
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Toxin binds to DNA and prevents transcription of genetic information
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What is Aspergillosis most commonly caused by?
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A. fumigatus
A. niger A. flavus |
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How does Aspergillosis begin?
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When susceptible people inhale mold spores into their lungs, causing three forms of infection
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What are the three forms of infection caused by Aspergillosis?
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1.Allergic bronchopulmonary aspergillosis
2. Aspergilloma 3. Invasive aspergillosis |
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What infection caused by Aspergillosis is characterized by the formation of bronchial mucous plugs?
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Allergic bronchopulmonary aspergillosis
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What infection caused by Aspergillosis is characterized by the formation of "fungus balls" in lung cavities without invasion?
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Aspergilloma
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What infection caused by Aspergillosis is characterized when the infection spreads beyond the lungs to the other organs. even when treated early, it is often fatal.
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Invasive aspergillosis
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Infections which are a result of treatment in a hospital or healthcare service unit, but secondary to the patients original condition
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Nosocomial Infections
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When are infections considered nosocomial?
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If they first appear 48 hours or more after hospital admission or within 30 days after discharge.
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What are common causes of Nosocomial infection?
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- E. coli
- Staph Aureus and S. Epidermis - S. faecalis - Pseudomonas aeruginosa - Klebsiella pneumoniae - Enterobacter sp. - Candida sp. |