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Superficial Mycoses
Section 5
32
Microbiology
Professional
05/17/2012

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Term
Piedra hortae
Definition
causes BLACK PIEDRA
Term
Piedra hortae
Definition
black monomorphic mold
produces superficial mycosis of HAIR SHAFT
Term
Piedra hortae
Definition
found in South America as normal human flora, soil, or non-human mammals
Term
Piedra hortae
Definition
INFECTION OF HAIRS OF THE SCALP form mycelial/nodular swellings along shaft. Causes hair to break off due to keratinolytic activity.
Term
Piedra hortae
Definition
GRITTY, HARD BLACK ENCRUSTATIONS of cemented hyphal cells form painless nodules
Term
Piedra hortae
Definition
KOH or PAS staining xs hairs: hair shafts with black, hard gritty nodules containing ASCI WITH MULTIPLE ASCOSPORES
Term
Malassezia furfur
Definition
causes PITYRIASIS (TINEA) VERSICOLOR
Term
Malassezia furfur
Definition
lipophilic, dimorphic fungus causing superficial mycotic infection of the skin.
Term
Malassezia furfur
Definition
Predisposing factors: use lipid emulsions, illness, malnutrition, high cortisol levels, high temperature and humidity.
Term
Malassezia furfur
Definition
most common between adolescence and middle age
incidence 40 to 60%
Term
Malassezia furfur
Definition
LIPOPHILIC FUNGUS feeds on skin oil, removing stratum corneum layer. Increaes squamous cell turnover of outer epithelium.
Term
Malassezia furfur
Definition
red, brown, blotchy, scaly, painless, hypopigmented patches on skin of non-suntanned individuals.
Pinkish white patches on dark skinned people.
Term
Malassezia furfur
Definition
can develop into itchy PAPULES AND PUSTULES or ATOPIC DERMATITIS on back and trunk
Term
Malassezia furfur
Definition
KOH or PAS staining of skin scrapings: stubby hyphae and globose budding yeast cells in form of SPAGHETTI AND MEATBALLS
Term
Hortaea werneckii
Definition
causes TINEA NIGRA
Term
Hortaea werneckii
Definition
black, dematiaceous, monomorphic mold causing superficial mycosis of skin
Term
Hortaea werneckii
Definition
found worldwide in STAGNANT WATER and SOIL.
normal flora of HUMANS and MAMMALS
Term
Hortaea werneckii
Definition
mold feeds on stratum corneum layer of HAND and FEET, resulting in squamous cell turnover.
Term
Hortaea werneckii
Definition
solitary, brown-black, nonscaly, flat, painless MACULES mottled with deeper pigmentation at periphery.
Term
Hortaea werneckii
Definition
KOH or PAS staining of skin scrapings: MULTIPLE-BRANCHED SEPTATE, DARK PIGMENTED HYPHAE,, and elongated budding cells
Term
Hortaea werneckii
Definition
lesions must be differentiated from MALIGNANT MELANOMA or contact dermatitis.
Term
Trichosporon ovoides
Definition
causes WHITE PIEDRA
Term
Trichosporon ovoides
Definition
white monomorphic mold found WORLDWIDE in STAGNANT WATER and SOIL; normal flora of HUMANS and MAMMALS
Term
Trichosporon ovoides
Definition
infection of the hair: WHITE, MYCELIAL/NODULAR SWELLINGS along the axis of the hair shafts. weakens/breaks hair
Term
Trichosporon ovoides
Definition
SOFT, WHITE, PAINLESS NODULES around cuticle of hair shaft, resulting in crust on skin or hair of head or genitals
Term
Trichosporon ovoides
Definition
KOH or PAS skin scrapings: hair shafts with conidia and white nodules, and HYALINE, SEPTATE HYPHAE broken into ARTHROSPORES
Term
Otomycosis (Aspergillus, Penicillium, Mucor, and Rhizopus sp.)
Definition
opportunistic, saprophytic, monomorphic molds causing superficial infection of outer ear
Term
Otomycosis (Aspergillus, Penicillium, Mucor, and Rhizopus sp.)
Definition
WORLDWIDE in SOIL. Infects humans and animals, but they are not reservoirs.
Term
Otomycosis (Aspergillus, Penicillium, Mucor, and Rhizopus sp.)
Definition
only superficial mycoses transmitted by FOMITES ONLY.
(all others= person-person, mammal-person, fomites)
Term
Otomycosis (Aspergillus, Penicillium, Mucor, and Rhizopus sp.)
Definition
large masses of epithelial debris in EXTERNAL AUDITORY MEATUS
Term
Otomycosis (Aspergillus, Penicillium, Mucor, and Rhizopus sp.)
Definition
chronic infection of the external ear with itching, pain, inflammation, loss of hearing, and serous secretion.
Term
Otomycosis (Aspergillus, Penicillium, Mucor, and Rhizopus sp.)
Definition
KOH: fragments of mycelium with or without branches and septa
conidiophores and conidia or sporangiophores may be seen.
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