Term
How can you diagnose fungal diseases? |
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Definition
microscope
culture (Sabouraud's agar)
PAS mucin and Silver stains
KOH solution with infected fluid |
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Term
What fungus occasional buds unequally? |
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Definition
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Term
What fungus has narrow based unequal budding and a capsular halo?
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Definition
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Term
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Definition
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Term
Where does a superficial fungus stay in the body? |
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Definition
skin-stratum corneum and skin appendages |
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Term
Where does a cutaneous or subcutaneous fungus stay in the body?
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Definition
skin but can spread to other sites |
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Term
superficial fungal infections are caused by Dermatophytes which include?
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Definition
Microsporum
Trichophyton
Epidermophyton |
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Term
A wood's lamp aids in the diagnoses of which fungal infection? |
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Definition
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Term
what does tinea corporis look like? |
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Definition
expanding, round, slightly erythmatous plaque with elevated scaling border |
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Term
what does tinea versicolor look like? |
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Definition
macules, lighter or darker than surrounding skin with fine peripheral scaling |
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Term
What is tinea versicolor caused by? |
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Definition
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Term
What is the common name for tinea pedis? |
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Definition
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Term
What is tinea unguium or onchymycosis? |
|
Definition
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Term
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Definition
fungal infection of the hair |
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Term
What would you see with a positive fungal infection specimen of skin in KOH? |
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Definition
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Term
What is the prototype for subcutaneous mycosis? |
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Definition
sporotrichosis-usually found in rotting vegetation on bark and thorns |
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Term
T/F
sporotrichosis can spread to the lymphatics? |
|
Definition
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|
Term
What kind of granuloma forms with sporotrichosis? |
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Definition
granuloma with macrophages and giant cells surrounded lymphocytes and plasma cell with central neutrophils |
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Term
What could you see with systemic Candidiasis? |
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Definition
micro-abscesses composed of yeasts
psuedo hyphae
necrotic debris
and neutrophils |
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Term
What are some risk factors for systemic Cadidiasis? |
|
Definition
neutropenia
bone marrow transplant
immunosuppressed
corticosteroid use
severe burns
organ failure
antibiotic use |
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|
Term
How can you detect Candidiasis? |
|
Definition
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Term
What does mucocutaneous lesions of Candidiasis look like? |
|
Definition
white patches on a red base |
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Term
where is cryptococcosis abundant? |
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Definition
areas with pigeon excreta |
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Term
Where do 95% of the infections for cryptococcosis go in the body? |
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Definition
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Term
What is cryptococcal meningoencephalitis characterized by? |
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Definition
cerbral edema
gelatinous thick meninges |
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|
Term
how can you visualize cryptococcal meningoencephalitis? |
|
Definition
PAS and silver stain-halo around it
Mucicarmine to stain capsule
India ink for CSF |
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|
Term
How does Aspergillosis appear in tissue? |
|
Definition
septate hypae with acute angle branching
fruiting bodies |
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Term
|
Definition
a possible carcinogen from aspergillus |
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|
Term
allergic disease with asthma to aspergillus will have? |
|
Definition
elevated serum IgE
peripheral eosinophilia |
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|
Term
|
Definition
hypersensitivity rxn in susceptible ppl
inflammatory rxn of lymphocytes and plasma cells in septa
serum anti-Aspergillus IgG Ab |
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|
Term
T/F
aspergillus can cause hemoptysis? |
|
Definition
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|
Term
What is known as the bread mold fungus? |
|
Definition
|
|
Term
what patients are affected by
|
|
Definition
DM
leukemia
lymphoma
Immune deficient
use corticosteroids/cytotoxic drugs |
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|
Term
what are some mucormycosis fungi? |
|
Definition
Rhizopus
Absidia
Mucor
Etc |
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|
Term
mucormycosis are stained with?
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|
Definition
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|
Term
How does mucormycosis appear in tissue? |
|
Definition
broad, thin wlled pleomorphic hyphae with irregular contours, haphazard branching |
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Term
How does mucormycosis lesions often show? |
|
Definition
vascular invasion
thrombosis and infarction of tissue with coagulative necrosis and neutrophilic infiltrates |
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Term
which fungus infects by inhalation of cyst stage, with trophozoites in alveoli, multiply and attach to type 1 pneumocytes |
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Definition
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Term
T/F
pneumocystosis is non-pathogenic in persons with normal immunity
|
|
Definition
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Term
what are some risks for developing pneumocystosis? |
|
Definition
HIV/AIDS
lymphoproliferative disorders
immunosuppression
cytotoxic chemotherapy
high corticosteroidsof cushing's disease |
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|
Term
What does a lesion of pneumocystosis look like? |
|
Definition
diffuse interstitial pneumonia
alveolar space filled with foam/desquamated cells/parasites |
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Term
What is the source of amebiasis? |
|
Definition
food and water
cell wall ingested by gastric juices |
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|
Term
Where in the GI do amebiasis usually go? |
|
Definition
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|
Term
|
Definition
look for trophozoite or cyst in stool |
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|
Term
Can amebiasis cause encephalitis? |
|
Definition
yes
can get from swimming |
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|
Term
amebiasis is caused by which bugs? |
|
Definition
Acanthamoeba castellanii
Entamoeba histolyica
Naegleria fowleri |
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|
Term
What are the risk factors for Giardia? |
|
Definition
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|
Term
Where do Giardia teardrop-shaped trophozoites attach to? |
|
Definition
epithelium of duodenum and upper jejunum |
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Term
Cryptosporidiosis are most common in which part of the body? |
|
Definition
terminal ileum and proximal colon
(usually brush border and lamina propria) |
|
|
Term
Does Trichomoniasis
have a cyst form? |
|
Definition
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|
Term
Trichomoniasis presentation in women? |
|
Definition
itch
burning
dysuria
yellow discharge
strawberry mucosa |
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