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Subcutaneous Mycoses
Section 7
55
Microbiology
Professional
05/17/2012

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Term
Chromoblastomycosis (Cladophialophora, Fonsecaea, and Phialophora)
Definition
found in Americas, Africa, and Japan in PLANT DEBRIS AND SOIL reservoirs.
Transmission=traumatic implantation of fomites
Term
Chromoblastomycosis (Cladophialophora, Fonsecaea, and Phialophora)
Definition
SUPPURATIVE EXUDATE with fibrous tissue forming foci of necrosis
Term
Chromoblastomycosis (Cladophialophora, Fonsecaea, and Phialophora)
Definition
LESIONS= sclerotic cells surrounded by neutrophils, lymphocytes, plasma cells, and eosinophils.
Term
Chromoblastomycosis (Cladophialophora, Fonsecaea, and Phialophora)
Definition
DENSE COLLAGENOUS ENCAPSULATION of connective tissue around fungus=pseudoepitheliomatous hyperplasia and granulomas. Outer skin thickens/crusts
Term
Chromoblastomycosis (Cladophialophora, Fonsecaea, and Phialophora)
Definition
VERRUCOUS DERMATITIS: papules, pustules, and nodules on hands, feet, and legs develop into cauliflower-shaped lesions
Term
Chromoblastomycosis (Cladophialophora, Fonsecaea, and Phialophora)
Definition
CLADOSPORIOSIS: lesions in the brain cause headache, paralysis, coma, seizures
Term
Chromoblastomycosis (Cladophialophora, Fonsecaea, and Phialophora)
Definition
KOH and PAS reveal sclerotic bodies with branching septate, brown hyphae, and thick-walled, round-to-oval brown cells with septa
Term
Basidiobolus ranarum and Delacroixia coronatus
Definition
causes subcutaneous zygomycosis
Term
Basidiobolus ranarum
Definition
causes basidiobolomycosis
Term
Basidiobolus ranarum
Definition
found in AFRICA and ASIA in soil, decaying vegetation, and reptile reservoirs. pathogen of amphibians and reptiles
Term
Basidiobolus ranarum
Definition
freely moveable subcutaneous nodules associated with lymphatics producing elephantitis with woody consistency
Term
Basidiobolus ranarum
Definition
ulcers do not form, but nodules become HYPERPIGMENTED
Term
Basidiobolus ranarum
Definition
KOH/PAS: non-septate or septate HYPHAE WITH SWOLLEN ENDS containing large papilla
Term
Delacroixia coronatus
Definition
causes conidiobolomycosis: nasal swellings that develop into hard, painless polyps and subq noduless. causes edema of cheeks, forehead, lips, and eyes
Term
Delacroixia coronatus
Definition
Central America, Africa, and India in SOIL and DECAYING PLANTS.
Transmission is traumatic implantation of fomites
Term
Delacroixia coronatus
Definition
KOH/PAS reveal HYPHAE with TERMINAL CONIDIA
Term
Basidiobolus ranarum and Delacroixia coronatus
Definition
hyphae invade subcutaneous tissues of limbs, buttocks, and perineum producing dense infiltrates of eosinophils and granulomas.
Term
Alternaria, Cladophialophora, and Exophiala
Definition
cause phaeohyphomycosis
Term
Phaeohyphomycosis (Alternaria, Cladophialophora and Exophiala)
Definition
found worldwide in PLANT DEBRIS and SOIL.
Transmission= traumatic implantation or inhalation of conidia
Term
Phaeohyphomycosis (Alternaria, Cladophialophora and Exophiala)
Definition
MULTIPLE GRANULOMATOUS ABSCESSES formed surrounding swollen, oval hyphae and conidia that have necrotic centers
Term
Phaeohyphomycosis (Alternaria, Cladophialophora and Exophiala)
Definition
KOH/PAS stains reveal branching, septate, brown hyphae in infected tissue
Term
Cutaneous Phaeohyphomycosis (Alternaria, Cladophialophora and Exophiala)
Definition
cracked, fissured, ulcerated, lichenified, eczematous skin around lower or upper limbs
Term
Phaeohyphomycosis (Alternaria, Cladophialophora and Exophiala)
Definition
phaeomycotic cysts: asymptomatic, well encapsulated subq nodules
cerebral phaeohyphomycosis: brain infection
Term
Pseudoallescheria and Madurella
Definition
Pseudallescheriaisis
Term
Pseudallescheriasis (Pseudoallescheria and Madurella)
Definition
worldwide in SOIL, DECAYED VEGETATION, MANURE, AND POLLUTED WATER.
transmission: inhalation or traumatic implantation of fomites into skin
Term
Pseudallescheriasis (Pseudoallescheria and Madurella)
Definition
hyphae invade subQ tissue=granulomas + allergic rxns
Term
Pseudallescheriasis (Pseudoallescheria and Madurella)
Definition
evade host by depositing extracellular MELANIN
Term
Pseudallescheriasis (Pseudoallescheria and Madurella)
Definition
EUMYCETOMAS: painless tumor-like swelling that ulcerate, form sinus tracts, and fibrosis/scarring with woody disfigurement
Term
Pseudallescheriasis (Pseudoallescheria and Madurella)
Definition
bronchial pneumonia with colonization and fungus ball formation
Term
Pseudallescheriasis (Pseudoallescheria and Madurella)
Definition
can cause sinusitis, otomycosis, meningitis, arthritis, osteomyelitis, endocarditis, endopthalmitis, keratitis, and cutaneous/subcutaneous lesions
Term
Pseudallescheriasis (Pseudoallescheria and Madurella)
Definition
KOH/PAS: broad, branching septate hyphae with dense, neutrophilic exudates occuring as black grains.
Term
Lacazia lobi
Definition
monomorphic yeast causing LOBOMYCOSIS
Term
Lacazia lobi
Definition
South and Central America + Florida
HUMAN and DOLPHIN reservoirs
Transmission= traumatic contact with skin
Term
Lacazia lobi
Definition
mold psores release TOXIC COMPOUNDS producing imflammatory rxn leading to chronic granulomas
Term
Lacazia lobi
Definition
painless PLAQUES and KELOIDS on skin ulcerate and spread to form tumor-like areas
Term
Lacazia lobi
Definition
chronic leasions cause SQUAMOUS CELL CARCINOMAS
Term
Lacazia lobi
Definition
KOH/PAS: thick-walled, globose to lemon shaped budding yeasts joined by short tubes ("chains of yeast")
Term
Lacazia lobi
Definition
This yeast cannot be cultured
Term
Rhinosporidium seeberi
Definition
monomorphic mold causes RHINOSPORIDIOSIS
Term
Rhinosporidium seeberi
Definition
worldwide in SOIL and WATER reservoirs
transmission= inhalation or contact with stagnant fresh water
Term
Rhinosporidium seeberi
Definition
micro-abscess or polyp in mucosa
globular sporangia filled with endospores
Term
Nasal Rhinosporidiosis
Definition
sessile or pedunculated polyps in nose/palate mucouse membrane
Term
Ocular Rhinosporidiosis
Definition
sessile or stalked growths in conjunctiva
Term
Cutaneous Rhinosporidiosis
Definition
wart-like ulcerated cutaneous lesions
Term
Systemic Rhinosporidiosis
Definition
polyp-like growths in bone, liver, lung, spleen, or brain
Term
Rhinosporidium seeberi
Definition
KOH/PAS: thick-walled spherules (sporangia) with endospores inside
Term
Sporothrix schenckii
Definition
dimorphic mold the produces subcutaneous infection SPOROTRICHOSIS
Term
Sporothrix schenckii
Definition
worldwide growing in DECAYING VEGETATION and SOIL reservoirs
traumatic implantation of plant or inhalation of conidia
Term
Sporothrix schenckii
Definition
lymphatic lesions and circumscribed microabscesses
Term
Sporothrix schenckii
Definition
PAS stain shows chlamydospores in ASTEROID BODIES and cigar shaped budding yeast forms in pus filled granulomas
Term
Lymphocutaneous sporotrichosis
Definition
painless, nodular, erythematous necrotic lesions along lymph channels leading away from primary lesion in weeks to months
Term
Fixed cutaneous sporotrichosis
Definition
single ulcers at site of inoculation on face, trunk, and neck
Term
Mucocutaneous sporotrichosis
Definition
ulcerative, suppurative lesions of the mucous membranes
Term
Pulmonary sporotrichosis
Definition
varies from chronic, cavitary lung lesions to lymph node involvement that cause bronchial obstruction
Term
Extracutaneous disseminated sporotrichosis
Definition
cutaneous lesions that spread to eye, bones, periosteum, synovium, or other organs causing meningitis in immunosuppressed
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