Podcast
Questions and Answers
Which fungus is intrinsically resistant to Fluconazole?
Which fungus is intrinsically resistant to Fluconazole?
Cryptococcus neoformans is resistant to Echinocandins.
Cryptococcus neoformans is resistant to Echinocandins.
True (A)
What defines virulence in the context of fungi?
What defines virulence in the context of fungi?
The ability to cause disease.
Fungal pathogens often evade the human immune system through _____ and _____ of PAMPs.
Fungal pathogens often evade the human immune system through _____ and _____ of PAMPs.
Signup and view all the answers
Match the fungal virulence factors with their descriptions:
Match the fungal virulence factors with their descriptions:
Signup and view all the answers
Which mechanism is associated with the azole resistance in fungi?
Which mechanism is associated with the azole resistance in fungi?
Signup and view all the answers
Acquired resistance can occur through horizontal gene transfer in fungi.
Acquired resistance can occur through horizontal gene transfer in fungi.
Signup and view all the answers
What is one of the criteria necessary for a fungus to parasitize humans?
What is one of the criteria necessary for a fungus to parasitize humans?
Signup and view all the answers
The presence of _____ in biofilms contributes to antifungal resistance.
The presence of _____ in biofilms contributes to antifungal resistance.
Signup and view all the answers
Which of the following factors can affect the morphogenesis of fungal pathogens?
Which of the following factors can affect the morphogenesis of fungal pathogens?
Signup and view all the answers
What is the primary route of infection for Cryptococcus species?
What is the primary route of infection for Cryptococcus species?
Signup and view all the answers
Cryptococcal meningitis only occurs in immunocompromised individuals.
Cryptococcal meningitis only occurs in immunocompromised individuals.
Signup and view all the answers
What are the two main species of Cryptococcus discussed?
What are the two main species of Cryptococcus discussed?
Signup and view all the answers
Amphotericin B is primarily administered by ______.
Amphotericin B is primarily administered by ______.
Signup and view all the answers
Match the following antifungal agents with their mode of action:
Match the following antifungal agents with their mode of action:
Signup and view all the answers
Which antifungal agent is considered a natural compound?
Which antifungal agent is considered a natural compound?
Signup and view all the answers
Allylamines have good activity against Aspergillus spp.
Allylamines have good activity against Aspergillus spp.
Signup and view all the answers
What is a significant problem associated with echinocandins?
What is a significant problem associated with echinocandins?
Signup and view all the answers
Cryptococcus gattii is known to infect ______ individuals more commonly.
Cryptococcus gattii is known to infect ______ individuals more commonly.
Signup and view all the answers
Which antifungal agent inhibits squalene epoxidase?
Which antifungal agent inhibits squalene epoxidase?
Signup and view all the answers
Resistance to antifungal agents is not a concern in clinical settings.
Resistance to antifungal agents is not a concern in clinical settings.
Signup and view all the answers
What is a major clinical use of Flucytosine?
What is a major clinical use of Flucytosine?
Signup and view all the answers
The mode of action of azoles involves inhibiting the enzyme ______.
The mode of action of azoles involves inhibiting the enzyme ______.
Signup and view all the answers
Which antifungal is known for having a high mortality rate when treating cryptococcal meningitis?
Which antifungal is known for having a high mortality rate when treating cryptococcal meningitis?
Signup and view all the answers
Which of the following fungi is classified as a primary pathogen?
Which of the following fungi is classified as a primary pathogen?
Signup and view all the answers
Fungi are prokaryotic organisms.
Fungi are prokaryotic organisms.
Signup and view all the answers
Name one type of superficial mycoses.
Name one type of superficial mycoses.
Signup and view all the answers
The _____ fungal cell wall is composed of complex polysaccharides like chitin and glucan.
The _____ fungal cell wall is composed of complex polysaccharides like chitin and glucan.
Signup and view all the answers
Match the fungal pathogens with the type of mycoses they cause:
Match the fungal pathogens with the type of mycoses they cause:
Signup and view all the answers
Which fungus is known for causing invasive mycoses predominantly in immunocompromised individuals?
Which fungus is known for causing invasive mycoses predominantly in immunocompromised individuals?
Signup and view all the answers
Most species of Aspergillus are disease-causing.
Most species of Aspergillus are disease-causing.
Signup and view all the answers
What are two examples of opportunistic fungal pathogens?
What are two examples of opportunistic fungal pathogens?
Signup and view all the answers
Candida albicans can exist in several forms, including _____, _____, and _____.
Candida albicans can exist in several forms, including _____, _____, and _____.
Signup and view all the answers
Match the disease caused by Aspergillus to its respective kind:
Match the disease caused by Aspergillus to its respective kind:
Signup and view all the answers
Which of the following is NOT a characteristic of the fungal cell wall?
Which of the following is NOT a characteristic of the fungal cell wall?
Signup and view all the answers
Invasive mycoses are less fatal than tuberculosis.
Invasive mycoses are less fatal than tuberculosis.
Signup and view all the answers
What are the two major types of fungal pathogens based on the host's immune status?
What are the two major types of fungal pathogens based on the host's immune status?
Signup and view all the answers
Superficial mycoses typically infect ______ rich tissues.
Superficial mycoses typically infect ______ rich tissues.
Signup and view all the answers
Which of the following fungi is critical priority according to WHO?
Which of the following fungi is critical priority according to WHO?
Signup and view all the answers
Flashcards
What is Virulence?
What is Virulence?
The ability of a fungus to cause disease.
Virulence Factors
Virulence Factors
These are genetic factors that help a fungus cause disease.
What is the Reverse Genetics Approach?
What is the Reverse Genetics Approach?
This involves disrupting a gene, creating a mutant fungus, and seeing if it becomes less harmful.
What is Forward Genetics?
What is Forward Genetics?
Signup and view all the flashcards
Growth at 37 Degrees Celsius
Growth at 37 Degrees Celsius
Signup and view all the flashcards
Biofilm Formation
Biofilm Formation
Signup and view all the flashcards
Morphogenesis
Morphogenesis
Signup and view all the flashcards
Stress Resistance
Stress Resistance
Signup and view all the flashcards
Immune Evasion
Immune Evasion
Signup and view all the flashcards
Damage to Host
Damage to Host
Signup and view all the flashcards
Cryptococcosis
Cryptococcosis
Signup and view all the flashcards
Cryptococcus neoformans
Cryptococcus neoformans
Signup and view all the flashcards
Cryptococcus gattii
Cryptococcus gattii
Signup and view all the flashcards
Encapsulated yeast (Cryptococcus)
Encapsulated yeast (Cryptococcus)
Signup and view all the flashcards
Pulmonary cryptococcosis
Pulmonary cryptococcosis
Signup and view all the flashcards
Cryptococcal meningitis
Cryptococcal meningitis
Signup and view all the flashcards
Opportunistic pathogen (Cryptococcus)
Opportunistic pathogen (Cryptococcus)
Signup and view all the flashcards
Membrane disrupting agents
Membrane disrupting agents
Signup and view all the flashcards
Ergosterol synthesis inhibitors
Ergosterol synthesis inhibitors
Signup and view all the flashcards
DNA synthesis inhibitor
DNA synthesis inhibitor
Signup and view all the flashcards
Glucan synthesis inhibitors
Glucan synthesis inhibitors
Signup and view all the flashcards
Polyenes (amphotericin B)
Polyenes (amphotericin B)
Signup and view all the flashcards
Azoles
Azoles
Signup and view all the flashcards
Allylamines
Allylamines
Signup and view all the flashcards
5-Flucytosine (5FC)
5-Flucytosine (5FC)
Signup and view all the flashcards
What are fungi?
What are fungi?
Signup and view all the flashcards
What are yeast?
What are yeast?
Signup and view all the flashcards
What are polymorphic fungi?
What are polymorphic fungi?
Signup and view all the flashcards
What are moulds?
What are moulds?
Signup and view all the flashcards
What is the fungal cell wall?
What is the fungal cell wall?
Signup and view all the flashcards
What are primary fungal pathogens?
What are primary fungal pathogens?
Signup and view all the flashcards
What are opportunistic fungal pathogens?
What are opportunistic fungal pathogens?
Signup and view all the flashcards
What are superficial mycoses?
What are superficial mycoses?
Signup and view all the flashcards
What are subcutaneous mycoses?
What are subcutaneous mycoses?
Signup and view all the flashcards
What are invasive mycoses?
What are invasive mycoses?
Signup and view all the flashcards
What are dermatophytes?
What are dermatophytes?
Signup and view all the flashcards
What are Candida infections?
What are Candida infections?
Signup and view all the flashcards
Why is Candida albicans a commensal organism?
Why is Candida albicans a commensal organism?
Signup and view all the flashcards
Study Notes
Fungal Pathogens, Diseases and Treatments
- Fungi are eukaryotic organisms, similar in rank to plants and animals.
- They absorb nutrients by secreting enzymes to break down organic material.
- Approximately 1.5 million species exist, with 8,000 plant and 600 human pathogens.
Types of Fungi - Morphology
- Yeast: Round/oval, non-polymorphic, unicellular (e.g., Saccharomyces cerevisiae, used in fermentation). Multiply by budding, leaving scars on the mother cell. Environmental organisms.
- Dimorphic/Polymorphic Fungi: Switch between growth forms (reversible, e.g., Candida albicans). Commensal, easily changing shape.
- Moulds: Obligate filamentous fungi, produce conidia, cannot reverse growth form (e.g., Aspergillus fumigatus). Environmental organisms.
- Mushrooms: A type of fungus.
Fungal Cell Wall
- A key structural component, unique to fungi.
- Composed of polysaccharides (chitin, glucan, mannan, proteins) forming a robust structure.
- Protects fungus.
- Flexible and allows for growth and adaptation.
- Antifungal drug, immune response, and vaccine targets.
Types of Fungal Pathogens
- Primary: Infect healthy individuals (e.g., Histoplasma capsulatum, Blastomyces dermatitidis, Paracoccidioides brasiliensis, Coccidioides immitis). Generally inhaled but sometimes through cuts. Restricted geographical distribution.
- Opportunistic: Primarily infect immunocompromised patients (e.g., Dermatophytes, Candida spp, Aspergillus spp, Cryptococcus spp). Diverse routes of infection. Global distribution.
Diseases Caused by Opportunistic Fungi
- Superficial Mycoses: Non-lethal (e.g., Dermatophytes causing athlete's foot, Candida spp causing thrush). Affects skin, nails, mouth, vagina.
- Subcutaneous Mycoses: Non-lethal but debilitating (e.g., chromoblastomycosis, Madura foot). Often in individuals without access to quality healthcare. Rare, but challenging to treat.
- Invasive Mycoses: Lethal, predominantly affecting immunocompromised. Critical priority fungal pathogens include Cryptococcus neoformans, Candida auris, Aspergillus fumigatus, Candida albicans.
Superficial Mycoses (Detailed)
- Caused by dermatophytes (Microsporum spp, Epidermophyton spp, Trichophyton spp). Filamentous fungi.
- Found in soil, animals, and humans. Digest keratin for growth. Infects keratin-rich tissues in skin, hair, and nails.
- Candida infections are also superficial and can have significant inflammation in "normal individuals".
Subcutaneous Mycoses (Detailed)
- Mostly geographically restricted, such as Sporotrichosis and Mucormycosis (some global distribution).
- Affect subcutaneous tissue, often introduced by skin puncture wounds.
Invasive Mycoses (Detailed)
- High mortality rates in immunocompromised patients.
- Severity depends on immune system status.
- Roughly equivalent in mortality rate to tuberculosis and malaria.
Aspergillus Species
- Most species don't cause disease. A. fumigatus, A. flavus, etc are disease-causing species.
- Infection through inhalation of spores.
- Causes a spectrum of disease: allergy, invasive bronchopulmonary aspergillosis, disseminated aspergillosis (high mortality).
- Risks are higher in patients with pre-existing lung issues (e.g., COPD) or compromised immune systems.
Candidiasis
- Candida albicans (polymorphic yeast, hyphae, pseudohyphae) is the primary causative organism. Commensal organism in mucosal and skin microbiota.
- Infection often from environmental changes, weakened immunity, or sores.
- Causes superficial (mouth, vagina) and invasive (GI tract, organs, blood) candidiasis.
Cryptococcosis
- Cryptococcus neoformans frequently infects immunocompromised individuals. Cryptococcus gattii can infect healthy individuals.
- Causes pulmonary cryptococcosis (often asymptomatic, chronic).
- Cryptococcal meningitis is common among immunocompromised patients (e.g., HIV, organ transplant recipients); high mortality.
Antifungal Agents
- Polyenes: Disrupt fungal cell membranes (e.g., amphotericin B).
- Azoles: Inhibit ergosterol synthesis.
- Allylamines: Inhibit ergosterol synthesis.
- Flucytosine: Inhibits DNA synthesis.
- Echinocandins: Inhibit glucan synthesis.
Antifungal Resistance
- Mechanisms include alterations in drug targets, overexpression of efflux pumps, and modification of stress responses.
- Can be intrinsic or secondary (acquired).
Fungal Virulence Factors
- Growth at 37°C
- Biofilm formation
- Morphogenesis (polymorphism)
Virulence Factor Identification
- Approaches include reverse and forward genetics and molecular Koch's postulates.
Criteria for Fungal Parasitism
- Growth in host.
- Reaching target tissues.
- Digesting/absorbing host components.
- Withstanding host immune system.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on the types, structures, and treatments of fungal pathogens. Explore the unique characteristics of yeast, dimorphic fungi, moulds, and mushrooms, while understanding their impact on humans and plants. This quiz covers essential concepts in mycology and fungal diseases.