Fungal Biology Quiz: Ascomycota and Mycoses
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Questions and Answers

What is the primary role of the ascus in Ascomycota during sexual reproduction?

  • To facilitate karyogamy and meiosis (correct)
  • To support the growth of bacteria
  • To produce complex septa
  • To store asexual spores
  • Which of the following correctly describes superficial mycoses?

  • They cause systemic infections in healthy individuals.
  • They primarily affect the hair, nails, and epidermis. (correct)
  • They penetrate deep into the tissues.
  • They are solely caused by opportunistic pathogens.
  • Which organism is primarily responsible for causing pityriasis versicolor?

  • Aspergillus niger
  • Trichophyton rubrum
  • Malassezia globosa (correct)
  • Candida albicans
  • What distinguishes systemic fungi from other types of fungi?

    <p>They may cause serious progressive systemic diseases in healthy persons.</p> Signup and view all the answers

    What is the significance of Sabouraud's agar as a mycological medium?

    <p>It encourages the growth of fungi while limiting bacterial contamination.</p> Signup and view all the answers

    Which class of fungi includes dermatophytes that cause conditions like ringworm?

    <p>Ascomycota</p> Signup and view all the answers

    What type of fungal infections are categorized as subcutaneous mycoses?

    <p>Infections that spread through skin and lymphatic systems after initial invasion</p> Signup and view all the answers

    Which of the following statements about opportunistic fungi is true?

    <p>They are commonly found in the environment or as part of normal flora.</p> Signup and view all the answers

    Which among the following statements accurately reflects the classification of mycoses?

    <p>Mycoses can be categorized as superficial, cutaneous, and subcutaneous infections.</p> Signup and view all the answers

    What is a primary characteristic that differentiates superficial mycoses from cutaneous mycoses?

    <p>Superficial mycoses are confined to the outermost layer of the skin, while cutaneous mycoses extend deeper.</p> Signup and view all the answers

    Which of the following is NOT a common method for diagnosing fungal infections?

    <p>Magnetic resonance imaging (MRI)</p> Signup and view all the answers

    In treating superficial mycoses, which class of medication is typically utilized?

    <p>Topical antifungals</p> Signup and view all the answers

    What is the predominant sterol found in fungal cell membranes that differentiates them from mammalian cells?

    <p>Ergosterol</p> Signup and view all the answers

    Which of the following antifungal treatments is most likely used for cutaneous mycoses?

    <p>Ketoconazole</p> Signup and view all the answers

    Which feature is NOT characteristic of fungi in comparison to bacteria?

    <p>Fungi reproduce only asexually.</p> Signup and view all the answers

    What is a significant difference between the cell walls of fungi and bacteria?

    <p>Fungal cell walls are composed of chitin, while bacterial walls are made of peptidoglycan.</p> Signup and view all the answers

    Which of the following statements is true concerning obligate and facultative aerobes in fungi?

    <p>Obligate aerobes require oxygen for growth, while facultative aerobes can grow with or without it.</p> Signup and view all the answers

    Which of the following best describes the eukaryotic structure of fungal cells?

    <p>Fungal cells contain membrane-bound organelles.</p> Signup and view all the answers

    Which organism is primarily associated with subcutaneous phaeohyphomycosis?

    <p>Exophiala jeanselmei</p> Signup and view all the answers

    What is the primary characteristic feature of phaeohyphomycosis observed in tissue?

    <p>Darkly pigmented septate hyphae</p> Signup and view all the answers

    Which treatment is considered the drug of choice for subcutaneous phaeohyphomycosis?

    <p>Itraconazole</p> Signup and view all the answers

    What type of infection can result from Cladophialophora bantiana?

    <p>Cerebral phaeohyphomycosis</p> Signup and view all the answers

    Which of the following statements about chromoblastomycosis is true?

    <p>Infection can be prevented by wearing shoes.</p> Signup and view all the answers

    Which characteristics differentiate actinomycotic mycetoma granules from mycotic lesions?

    <p>Actinomycotic granules are composed of thin filaments.</p> Signup and view all the answers

    What is a common treatment option for rhinosporidiosis?

    <p>Surgical removal or cauterization</p> Signup and view all the answers

    Which method is NOT used for the laboratory diagnosis of fungal infections?

    <p>RNA sequencing analysis</p> Signup and view all the answers

    What factor complicates the development of antifungal medications?

    <p>The similarity between human and fungal cells</p> Signup and view all the answers

    Which of these fungi groups is responsible for producing deadly toxins?

    <p>Ascomycota</p> Signup and view all the answers

    In the context of fungal infections, which organism is indicated as the causative agent of rhinosporidiosis?

    <p>Rhinosporidium seeberi</p> Signup and view all the answers

    What is the general habitat associated with the transmission of Rhinosporidium seeberi?

    <p>Dust and water</p> Signup and view all the answers

    Which of the following antifungal agents is NOT typically used for treating fungal infections?

    <p>Dapsone</p> Signup and view all the answers

    Which microbial feature is important in distinguishing various fungal groups?

    <p>Reproductive types</p> Signup and view all the answers

    How are polyps caused by rhinosporidiosis typically characterized?

    <p>Large and friable</p> Signup and view all the answers

    What is the primary mode of entry for fungi causing subcutaneous mycoses?

    <p>Traumatic inoculation</p> Signup and view all the answers

    Which of the following is NOT a characteristic of sporotrichosis caused by Sporothrix schenckii?

    <p>Causes extensive systemic illness</p> Signup and view all the answers

    What is the treatment recommendation for sporotrichosis after the lesions clear?

    <p>Continue treatment for 1-2 weeks</p> Signup and view all the answers

    Which subcutaneous mycosis is primarily associated with involvement in lymphatics and lymph nodes?

    <p>Sporotrichosis</p> Signup and view all the answers

    What is a common environmental source of Sporothrix schenckii?

    <p>Decaying wood and vegetation</p> Signup and view all the answers

    Which statement about subcutaneous mycoses is incorrect?

    <p>They are always life-threatening.</p> Signup and view all the answers

    What type of fungus is Sporothrix schenckii classified as?

    <p>Thermally dimorphic fungus</p> Signup and view all the answers

    What characteristic lesion typically appears at the site of a thorn injury in sporotrichosis?

    <p>Local pustule or ulcer</p> Signup and view all the answers

    Which occupational group is most frequently associated with sporotrichosis?

    <p>Gardeners and manual laborers</p> Signup and view all the answers

    What is the preferred treatment option for troublesome cases of sporotrichosis?

    <p>Short courses of oral griseofulvin</p> Signup and view all the answers

    Study Notes

    Cutaneous and Subcutaneous Mycoses

    • Mycology is the study of fungi
    • Approximately 80,000 fungal species have been described, but fewer than 400 are medically important.
    • Less than 50 species cause more than 90% of fungal infections
    • Fungi are beneficial in breaking down and recycling organic matter
    • Fungi contribute to food and beverages (cheese, bread, beer)
    • Fungi produce bioactive secondary metabolites like antibiotics (penicillin) and immunosuppressants (cyclosporine)
    • Fungi are eukaryotes, with a higher biological complexity than bacteria
    • Fungal cells have a nucleus, nuclear membrane, endoplasmic reticulum, mitochondria, and a secretory apparatus
    • Most fungi are obligate or facultative aerobes
    • Fungi reproduce both sexually and asexually
    • Some fungi are unicellular; others become multicellular via branching filaments
    • Fungi absorb nutrients; they lack chlorophyll
    • The fungal cell wall is different from bacteria and plant cells chemically
    • The main sterol in fungi is ergosterol, while in mammals it is cholesterol
    • Fungi are typically haploid, although diploid nuclei are formed during sexual reproduction
    • Fungal cells are typically surrounded by a rigid cell wall
    • The cell wall is made up of polysaccharides (mannan, glucan, and chitin) and structural proteins
    • Fungal infections are termed mycoses
    • Mycoses can be classified as superficial, cutaneous, subcutaneous, or systemic (Table 45-1)
    • Systemic mycoses often exhibit subcutaneous manifestations and vice versa
    • Most patients with opportunistic infections have compromised host defences

    Fungal Structure

    • Fungal cells have a nucleus, nucleolus, nuclear membrane, linear chromosomes, cytoskeleton (actin microfilaments and tubulin-containing microtubules), ribosomes, and other organelles (e.g., mitochondria, endoplasmic reticulum and Golgi apparatus)
    • Fungal cells have a rigid cell wall (external to cytoplasm membrane).
    • Fungi differ from bacterial and plant cells in their sterol composition/make up.

    Yeasts and Molds

    • Fungi grow as yeasts or molds
    • Mold growth is by multicellular filamentous colonies
    • Colonies are composed of branching cylindrical tubules called hyphae, with diameters from 2μm – 10μm
    • Intertwined hyphae form a mycelium
    • Hyphae may be divided into cells with cross-walls or septa (like compartments), appearing at regular intervals during growth
    • Some medically significant molds, like zygomycetes, have hyphae that are not septated
    • Other fungi have septate hyphae
    • Aseptate (coenocytic) hyphae have multinucleated cytoplasm
    • Fungi grow through the development of hyphae (like extensions of the cell)
    • These extended hyphae form an interwoven mass referred to as the mycelium.
    • A portion of the mycelium (vegetative mycelium) absorbs nutrients
    • The aerial mycelium produces spores for reproduction
    • Mycelium is like a root
    • Aerial mycelium bears reproductive structures (conidia or spores)
    • The hyphae are rigid to support the interwined network which is a mold

    Types of Hyphae

    • Vegetative hyphae penetrate the medium for nutrient absorption
    • Aerial hyphae extend above the surface to provide support or to reproduce.
    • Reproductive hyphae carry spores for reproduction.
    • Mycelium is a collection of hyphae

    Asexual Spores on Aerial Mycelia

    • Sporangiospores develop in a sporangium on sporangiophore
    • Conidia form on conidiophore, developing from the hyphae directly or on specialized structures
      • Arthrospores are conidia formed when the hyphae break down into septate segments
      • Chlamydospores are thick-walled spores produced within the hyphae
      • Blastospores are produced by budding
      • Phialospores are formed on the outside of specialized conidiophores
      • Macroconidia: Larger in size compared to microconidia
      • Microconidia: Smaller in size compared to macroconidia

    Yeasts

    • Yeasts are single cells, typically spherical or egg-shaped, with diameters of 3–15 μm.
    • Yeasts reproduce via budding.
    • Some yeasts produce buds that, rather than detaching, become elongated, producing a chain of elongated cells, called pseudohyphae.

    Yeast vs. Hyphae

    • Pseudohyphae differ from hyphae in recurring bud-like constructions and in being less rigid
    • Yeasts colonize mucosal surfaces and spread to other locations (especially in immuncompromised hosts)
    • Pseudohyphae have enhanced nutrient scavenging capabilities, and motility.
    • Hyphae invade host tissues and breach endothelial cell layers. They are capable of lysing macrophages and neutrophils and exhibit thigmotropism and antigenic variation.

    Reproduction

    • Fungi reproduce sexually or asexually
    • Asexual reproduction produces conidia, which arise either from condiophores or directly from existing hyphae
    • Sexual reproduction produces ascospores

    Spores

    • Spores are readily dispersed
    • Spores are resistant to harsh environments
    • Spores can germinate when conditions for growth are favorable
    • Spores can derive from asexual or sexual reproduction

    Fungal Groups

    • Fungi are classified into four phyla: Chytridiomycota, Zygomycota, Ascomycota, and Basidiomycota.
    • Ascomycota includes more than 60% of known fungi and about 85% of human pathogenic fungi
    • Zygomycota or Basidiomycota are the remaining pathogenic fungi

    Zygomycota

    • Sexual reproduction results in zygospores
    • Asexual reproduction occurs via sporangia
    • Vegetative hyphae are sparsely septate

    Ascomycota

    • Sexual reproduction involves a sac (ascus) where karyogamy and meiosis occur
    • Asexual reproduction is via conidia
    • Molds have septate hyphae.

    Basidiomycota

    • Sexual reproduction forms four basidiospores on a club-shaped basidium
    • Hyphae are complex and septate.

    Culturing

    • Fungi readily grow on simple sources of nitrogen and carbohydrates.
    • Sabouraud's agar is used because it doesn't support bacterial growth

    Fungal Medical Significance

    • Various fungi (yeasts, molds, and fleshy fungi) have medical, veterinary, or agricultural importance due to causing infections
    • Fungal infections in humans, animals and plants are called mycoses

    Grouping of Medically Important Fungi

    • Grouping fungi by the tissues they parasitize and diseases produced
    • Superficial fungi: dermatophytes (e.g., ringworm, athlete's foot)
    • Subcutaneous fungi cause infections in the skin and extend to subcutaneous tissue (e.g., sporotrichosis, chromoblastomycosis, phaeohyphomycosis, mycetoma)
    • Opportunistic fungi found in the environment or normally in the flora, producing disease in compromised situations
    • Systemic fungi are highly virulent and cause progressive systemic diseases (e.g., histoplasmosis)

    Superficial Mycoses

    • Superficial mycoses involve infection of the outermost body areas (hair, nails and epidermis)

    Pityriasis Versicolor

    • A chronic superficial infection of the stratum corneum
    • Caused by Malassezia globosa, M restricta, or other members of the M furfur complex
    • Characterized by discrete, serpentine, hyper or hypopigmented maculae mainly on the back.
    • Treated with selenium sulfide or azoles

    Tinea Nigra

    • A superficial, chronic, and asymptomatic infection of the stratum corneum
    • Caused by Hortaea (Exophiala) werneckii
    • Characterized by a dark-colored discoloration, often on the palms (especially in young women).
    • Treated with keratolytics, salicylic acid, or azole antifungals

    Piedra

    • Nodular infections of hair shafts
    • Black piedra is caused by Piedraia hortai
    • White piedra is caused by Trichosporon species
    • Treated by hair removal and topical antifungals.

    Cutaneous Mycoses

    • Cutaneous mycoses are fungal skin infections
    • Caused by fungi that infect only superficial keratinized tissues (skin, hair, and nails)
    • Dermatophytes are the most important ones of these (Microsporum, Trichophyton, Epidermophyton)

    Dermatopytoses

    • Dermatophytoses are among the most prevalent fungal infections
    • The infections are not usually life-threatening but can be troublesome
    • Acquired by contact with contaminated soil or infected animals/humans
    • Geophilic, zoophilic, or anthropophilic, depending on whether the habitat is soil, animals or humans, respectively.

    Epidemiology & Immunity

    • Dermatophytes infections begin with trauma/contact
    • Susceptibility may be enhanced by factors such as moisture, warmth, skin chemistry, youth, and heavy exposure
    • The incidence is higher in hot/humid climates and crowded living conditions
    • Transmission from soil/infected animal
    • Trichophytin is a crude antigen preparation used to detect hypersensitivity

    Tinea Pedis (Athlete's Foot)

    • Usually occurs as a chronic infection of toe webs
    • Other types include vesicular, ulcerative, and moccasin
    • Itching between toes, small vesicles developing, thin fluid discharge, maceration and peeling, secondary bacterial infection
    • Peeling/cracking are the principal manifestations, accompanied by pain and pruritus
    • Chronic infections

    Tinea Unguium (Onychomycosis)

    • Nail infection following prolonged tinea pedis
    • Manifestations: brittle, thickened, crumbly nails

    Tinea Corporis, Tinea Cruris, and Tinea Manus

    • Dermatophytosis affects glabrous skin
    • Annular lesions (ringworm) with a clearing, scaly center and red advancing border.
    • Usually in dry or vesicular form
    • Fungal metabolites, enzymes, and antigens cause erythema/vesicle formation/pruritus
    • Lesions expand outward
    • Tinea cruris (jock itch), infects the groin, may spread to scrotum
    • Tinea manus (hand ringworm), involves fingers/hands

    Tinea Capitis and Tinea Barbae

    • Tinea capitis (scalp ringworm), an infection of scalp/hair follicles
    • Infection begins with hyphal invasion of the skin and subsequent spread down the keratinized wall of hair follicle
    • Infection above hair root, causes dull gray circular patches with alopecia, scaling and itching.
    • Tinea barbae involves the bearded region

    Treatment (General)

    • Treatment involves removal of infected and dead epithelial structures
    • Topical antifungal chemicals or antibiotics are used
    • The area should be kept dry, sources of infection avoided

    Treatment (Specific)

    • Scalp infections: griseofulvin for 4–6 weeks, but azoles, ketoconazole, itraconazole, and terbinafine are quite effective
    • Tinea corporis, pedis: itraconazole, terbinafine; topical preparations (miconazole, tolnaftate, clotrimazole, for 2-4 weeks)

    Subcutaneous Mycoses

    • Fungi reside commonly in soil/vegetation
    • Enter skin/subcutaneous tissue via trauma from contaminated material/material
    • Lesions become granulomatous and slowly expand
    • Extension via lymphatics; usually confined to subcutaneous tissue but can become systemic
    • Sporotrichosis, chromoblastomycosis, phaeohyphomycosis, mycetoma, lobomycosis, rhinosporidiosis

    Sporothrix schenckii

    • Thermally dimorphic fungus
    • Grows as mold (ambient temperatures), or budding yeast at 35-37 degrees Celsius in tissue or vitro
    • Causative agent for sporotrichosis
    • Associated with vegetation/plant materials
    • Acquired through traumatic inoculation
    • Chronic granulomatous infection with secondary spread to draining lymphatics and lymph nodes

    Sporotrichosis

    • Chronic infection of cutaneous, subcutaneous, lymphatic tissue
    • Commonly seen in gardeners, forest workers, and manual laborers
    • Causative agent is Sporothrix schenckii
    • Found in soil, decaying woods, thorns, infected animals

    Chromoblastomycosis

    • Subcutaneous fungal infection caused by traumatic inoculation of certain dematiaceous fungi
    • Fungal agents: Phialophora verrucosa, Fonsecaea pedrosoi, Rhinocladiella aquaspersa, Fonsecaea compacta, Cladophialophora carrionii
    • Chronic with gradual development of granulomatous lesions

    Phaeohyphomycosis

    • Infections characterized by darkly pigmented septate hyphae
    • Forms from various species of dematiaceous molds, typically exogenous
    • Geographic distribution: tropical countries
    • Can develop as solitary encapsulated cysts, sinusitis, brain abscesses,
    • Treated with itraconazole or flucytosine; amphotericin B and surgery for brain abscesses

    Mycetoma

    • A chronic, granulomatous, progressive inflammatory disease of the subcutaneous tissue
    • Causative agents: true fungi (eumycetes) or higher bacteria (actinomycetes)
    • Characterized by the formation of grains that contain aggregates of causative organisms and drain through multiple sinuses

    Madura Foot

    • A type of mycetoma, originally reported from Madurai.
    • Chronic infection draining through sinuses on the skin

    Rhinosporidiosis

    • Chronic granulomatous disease characterized by the development of friable polyps (usually in the nose, mouth, eyes, rarely genitalia, or other mucous membranes)
    • Distribution mainly from India and Sri Lanka, although first identified in Argentina.
    • Causative agent: Rhinosporidium seeberi (cannot be cultured) believed to be transmitted in dust or water, with fish as the likely natural host

    Treatment (Specific, Mycetoma)

    • Treatments for mycetoma, including surgery, antifungal therapy (amphotericin B, miconazole, ketoconazole, itraconazole, flucytosine), topical nystatin, and topical potassium iodide.

    Laboratory Diagnosis

    • Tissue samples, aspiration fluid, pus, biopsy material, skin scrapings, and swabs are collected
    • KOH mounts of specimens or histopathological examination of tissue sections stained by methanamine silver stain are used
    • Cultivating organisms in culture and physiological/serological tests to assist with diagnosis

    Summary (Main Points)

    • Fungi are diverse saprophytic eukaryotes with chitin cell walls
    • Some fungi are unicellular and others multicellular; many fungal spores are microscopic, whilst some are large.
    • Reproductive types are significant for fungal group identification
    • Medically important fungi belong to Zygomycota, Ascomycota, Basidiomycota
    • Members of certain groups produce deadly toxins
    • Important differences in fungal cells, e.g., ergosterol, are targets for antifungal medications. Similarities between human/fungal cells pose difficulty in finding ideal targets.

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    Description

    Test your knowledge on the fascinating world of fungi, focusing on Ascomycota, mycoses, and their roles in different environments. This quiz covers topics such as sexual reproduction in fungi, types of mycoses, and specific fungi responsible for certain infections. Perfect for students and enthusiasts of mycology!

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