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16 Cards in this Set

  • Front
  • Back
What is meant by dematiaceous fungi?
Dark pigmented hyphae
What is meant by hyaline fungi?
Colorless hyphae
What regions do most subcutaneous fungal infections occur?
In the tropics
What are the four types of subcutaneous mycoses?
1) sporotrichosis 2) Chromoblastomycosis 3) Phaeohyphomycosis 4) Mycetoma
Describe the clinical manifestation of sporothrichosis
A nodule forms at the site of trauma which will appear suppurate, ulcerate, and spreads along the lymphatics; only yeast forms are observed
What is the fungus that causes sporotrichosis and what are it's distinctive properties?
Sporothrix schenckii; it is dimorphic fungus with yeast forms in the tissue and growth as a filamentous fungus with hyaline hyphae at 25C
What is the clinical manifestations of chromoblastomycosis infections?
The fungal species are dimorphic based on nutrition and exist as sclerotic boides in the tissue and dematiaceous hyphae in the lab
Describe the manifestations of a phaeohyphomycosis
These are fungal infections with dematiaceous hyphae in the tissue and can be dimorphic
Describe the manifestations of a mycetoma infection
These infections are caused by both dematiaceous and hyaline forms but all species produce a drianing pus with white or black grains
How can you distinguish a mycetomal infection caused by nocardia from that caused by a subcutaneous fungus?
Nocardia are acid fast and the fungi are not; the fungi will show pus with white and black grains
How does sporotrichosis generally occur?
Skin trauma to the extremities common in gardners (aka "rose handlers disease")
What is the appearance of a sporotrichosis infection?
A reddish, necrotic nodular papule occurs at the innoculation site and spreads along the lymphatics
When is a chromoblastomycosis generally seen after exposure?
It is generally seen several years after the injury occurs
What is the appearance of a chromoblastomycosis infection?
It appears as a raised, crusted lesion with a dry, warty appearance; it often resembles cauliflower and elephantiasis
What is the appearance of a phaeohyphomycosis?
It can range from a localized superficial infection of the skin to a subcutaneous cyst and even invasion of the brain (meningitis); respiratory disease can occur in the nasal cavity, sinuses, and lungs
Describe the appearance of a mycetoma
It usually involves the feet with a primary lesion as a small lump under the skin with slow invasive growth that produces ulcerative lesions with a purrative discharge containing dark and white granules