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chapter 39
biology
64
Biology
Undergraduate 1
05/13/2013

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Term
superficial mycoses
piedras
Definition
infections of hair shaft
Term
superficial mycoses
tineas
Definition
infections involving outer layers of skin, nails, and hair
Term
superficial mycoses
treatment, prevention, and control
Definition
removal of skin scales and infected hairs
good personal hygiene
Term
cutaneous mycoses
Called: dermatomycoses, ringworms, or tineas
Definition
different diseases distinguished according to causative agent and area of body affected
Term
cutaneous mycoses
diagnosis
Definition
microscopic examination of skin biopsies and culture on Sabouraud’s glucose agar
Term
cutaneous mycoses
treatment, prevention, and control
Definition
topical ointments and antifungal agents
Term
examples of cutaneous mycoses
Tinea capitis
Definition
infection of scalp hair
Term
examples of cutaneous mycoses
Tinea pedis
Definition
athlete’s foot
Term
examples of cutaneous mycoses
Tinea unguium
Definition
infection of the nailbed
Term
examples of cutaneous mycoses
Tinea cruris
Definition
jock itch
Term
Subcutaneous Mycoses
Definition
caused by inhabitants of soil
introduced in soil-contaminated puncture wounds
Term
Subcutaneous Mycoses
diagnosis
Definition
culture and examination of fungus from infected tissue
Term
Subcutaneous Mycoses
treatment, prevention, and control
Definition
antifungal agents and surgical excision
Term
Subcutaneous Mycoses
chromoblastomycosis
Definition
dark brown pigmented nodules
Term
Subcutaneous Mycoses…
maduromycosis
Definition
destroys subcutaneous tissue and produces serious deformities
Term
Subcutaneous Mycoses…
Sporotrichosis
Definition
most common in US
when spread throughout body, referred to as extracutaneous sporotrichosis
Term
Airborne Diseases…
cryptococcosis
Definition
systemic mycosis caused by yeast Cryptococcus neoformans
Term
Airborne Diseases…
cryptococcosis source
Definition
dried pigeon droppings
inhalation
Term
Airborne Diseases…
Histoplasmosis
Definition
common lung disease
caused by Histoplasma capsulatum var. capsulatum (dimorphic)
Term
Pathogenic Protists…
protozoa
Definition
wide distribution in nature
single-celled eukaryotic chemoorganotrophs
Term
Pathogenic Protists…
protozoa transmission to humans
Definition
protozoa – transmitted by...
arthropod vectors
food and water vehicles
direct contact
Term
Arthropod Borne Diseases
malaria
Definition
caused by four species of Plasmodium
transmitted by bite of an infected female mosquito
Term
malaria...
life cycle of plasmodial protists
Definition
sporozoite injected with mosquito bite
replicates as merozoite in hepatic cells
released, enters erythrocytes and replicates
lyses erythrocytes – correlates with fever
Term
Malaria…
clinical manifestations
Definition
periodic attacks of chills and fever
anemia can result and the spleen and liver often hypertrophy
can cause cerebral malaria in children and nonimmune individuals
Term
Malaria…
diagnosis
Definition
demonstration of parasites within Wright- or Giemsa-stained red blood cells and serological tests
Term
Malaria…
treatment, prevention, and control
Definition
antimalarial drugs
resistance has been observed
chemoprophylaxis for individuals traveling to endemic areas
prevention by use of bed netting and insecticides to control mosquitoes
new vaccine shows promise
Term
Leishmaniasis
Definition
caused by...
flagellated protists
Leishmania donovani, L. tropica, L mexicana
Term
Leishmaniasis...
transmitted by
Definition
sandflies when they take a blood meal...
animal reservoirs include canines and rodents, also blood transfusions, needles
Term
Leishmaniasis...
infection caused by
Definition
three forms of infection
mucocutaneous, cutaneous, and visceral
Term
Cutaneous Leishmaniasis
Definition
lesions of mouth, nose, throat, and skin that cause extensive scarring and disfigurement
papules that develop into crustated ulcers
healing occurs with scarring and permanent immunity
Term
Visceral Leishmaniasis
Definition
involves monocyte-macrophage system
Term
Leishmaniasis…
diagnosis
Definition
observation of parasites within infected macrophages, cultural and serological tests
Term
Leishmaniasis…
treatment, prevention, and control
Definition
antiparasite therapy
vector and reservoir control, and epidemiological surveillance
Term
Toxoplasmosis
Definition
worldwide very common disease caused by Toxoplasma gondii
apicomplexan (nonmotile) protist
most are asymptomatic
reservoir wild rodents, birds, small mammals
fecal-oral transmission from infected animals
also by ingestion of undercooked meat, congenital transfer, blood transfusion, or tissue transplant
Term
Toxoplasmosis…
clinical manifestations
Definition
usually asymptomatic or resembles mononucleosis
encephalitis can be fatal in immunocompromised hosts
tachyzoites cross the placenta and infect fetus, causing serious congenital defects or death
Term
Amebiasis (Amebic Dysentery)
Definition
caused byamoeba histolytica
infection by ingestion of mature cysts Ent from fecally contaminated water, food or hands, or from fecal exposure during sexual contact
clinical manifestations
asymptomatic to fulminating dysentery, exhaustive diarrhea, appendicitis, and abscesses of liver, lungs, and brain
Term
Amebiasis…
Definition
diagnosis
observation of trophozoites in fresh warm stools or cysts in ordinary stools, and serological tests
treatment, prevention, and control
antiprotozoal agents
avoiding contaminated water and food and hyperchlorination or iodination of water supplies to destroy waterborne
Term
Amebic Meningoencephalitis
Definition
caused by the free-living amoebae Naegleria and Acanthamoeba
facultative (opportunistic) parasites
Term
Amebic Meningoencephalitis...
clinical manifestations
Definition
Meningoencephalitis
amoebic encephalitis
keratitis – progressive ulceration of the cornea
diagnosis
demonstration of amoebae in clinical specimens
treatment, prevention, and control
no drug therapy available
do not use water for contact lens care
Term
Cryptosporidiosis
Definition
emerging disease caused by Cryptosporidium parvum
forms cysts, sporozoites, and merozoites
sporozoites parasitize intestinal epithelial cells
Term
Cryptosporidiosis
Cryptosporidium parvum
Definition
forms cysts, sporozoites, and merozoites
sporozoites parasitize intestinal epithelial cells
transmitted from animal reservoirs in contaminated food or water
many birds and mammals shed oocysts in feces
Term
Cryptosporidiosis…
clinical manifestations...
diagnosis...
treatment, prevention, and contro
Definition
diarrhea, abdominal pain, nausea, fever, and fatigue
usually self-limiting
can be fatal in late stage AIDS patients and other immunocompromised individuals...
microscopic examination of stools...
symptomatic/supportive therapy
cysts very resistant to chlorine
Term
Giardiasis...
caused by Giardia intestinalis
Definition
forms cysts and trophozoites
trophozoites attach to intestinal epithelium and interfere with nutrient absorption
Term
Giardiasis...
transmission usually by cyst-contaminated water….most common diarrheal disease
Definition
numerous animal reservoirs
asymptomatic human carriers are common
more serious disease in children
Term
Giardiasis…
clinical manifestations...
diagnosis...
treatment, prevention, and control
Definition
acute giardiasis - severe diarrhea, cramps, voluminous flatulence, and anorexia
chronic gastritis - intermittent diarrhea with periodic appearance and remission of symptoms...
observation of cysts or trophozoites in stools, and ELISA...
antiprotozoal agents
avoiding contaminated water and use of slow sand filters in processing of drinking water
Term
opportunistic microorganism
Definition
harmless in its normal environment but pathogenic in a compromised host
Term
compromised host
Definition
seriously debilitated and has lowered resistance to infection...
causes include malnutrition, alcoholism, cancer, diabetes, leukemia, another infectious disease, trauma from surgery or injury, an altered microbiota, immunosuppression by drugs, hormones, genetic deficiencies, cancer chemotherapy, and advanced age
Term
Microsporidia
Definition
obligate intracellular fungi that belong to phylum Microspora
Term
Microsporidia...
reservoirs
Definition
domestic and feral animals
Term
Microsporidia…
infection of host cell occurs when
Definition
extrudes polar tubule from within the spore
Term
Microsporidia…
symptoms
Definition
wide variety including hepatitis, pneumonia, skin lesions, diarrhea, weight loss, and wasting syndrome
Term
Microsporidia…
diagnosis
Definition
based on clinical symptoms and identification of microsporidia in gram or giema-stained specimens
identification can also be made using electron microscopy or PCR
Term
Microsporidia…
treatment, control, and prevention
Definition
treatment not well defined; some success with antifungal drugs
Term
candidiasis...
Definition
caused by Candida albicans or C. glabrata, dimorphic fungi
members of normal microbiota but numbers kept in check by other microbes
disease in healthy occurs as result of disruption of normal microbiota
can also be spread by sexual contact
wide spectrum of disease but most infections involve the skin or mucous membranes
Term
Nosocomial Candidiasis
Definition
important nosocomial pathogens
may represent up to 10% of nosocomial bloodstream infections
mortality ~50% when in bloodstream and disseminates to visceral organs
Term
oropharyngeal candidiasis (thrush)
Definition
common disease of newborns who become colonized during passage through birth canal
persons with dentures and use steroids
Term
paronychia and onychomycosis
Definition
associated with Candida infections of the subcutaneouonychomycosis s tissues of digits and nails, respectively
Term
intertriginous candidiasis
Definition
involves axillae, groin, and skin folds
Term
napkin (diaper) candidiasis
Definition
found in infants whose diapers are not changed frequently
Term
candidal vaginitis
Definition
occurs when lactobacilli are depleted
Term
balanitis
Definition
transmission to males during intercourse
infection of glans penis; occurs primarily in uncircumcised men
Term
diagnosis of candidiasis
Definition
is difficult
frequent secondary invader in other disease processes, mixed microbiota, no immunologic procedures for the identification
Term
candidiasis...
treatment, control, and prevention
Definition
no satisfactory treatment
antifungals used for cutaneous lesions and systemic candidiasis
Term
Trichomonas vaginalis
Definition
caused by protist flagellate...
common sexually transmitted disease
clinical manifestations
accumulation of leukocytes at site of infection
in females, results in yellow purulent vaginal discharge and itching
in males, usually asymptomatic or burning urination
diagnosis
observation of parasite in vaginal discharge, semen, or urine
treatment, prevention, and control
antiparasite therapy
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