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