Medical Mycology Overview
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Questions and Answers

What does the term 'teonanacatl' translate to in English?

  • heavenly substance
  • god's flesh (correct)
  • divine food
  • sacred mushroom

What is the mechanism of action of psilocybin in the brain?

  • Stimulation of GABA receptors
  • Antagonist at opioid receptors
  • Inhibition of dopamine uptake
  • Agonist at cortical serotonin 5-HT2A receptor (correct)

What is the primary host plant of the ergot fungus?

  • Oats
  • Rye (correct)
  • Corn
  • Barley

Which historical figure is associated with the trial in the 1692 painting?

<p>George Jacobs (D)</p> Signup and view all the answers

Which of the following terms is associated with unintentional poisoning from a psychoactive substance?

<p>Collateral intoxication (A)</p> Signup and view all the answers

Which organism is associated with Scheele’s green?

<p>Scopulariopsis brevicaulis (C)</p> Signup and view all the answers

What is one of the health benefits associated with Fomes fomentarius?

<p>Burnt on joints to treat arthritis (B)</p> Signup and view all the answers

Which type of fungal infection is often benign and most commonly seen in immunocompetent individuals?

<p>Superficial infections (C)</p> Signup and view all the answers

What is a major health concern represented by aflatoxin?

<p>Toxicity and contamination (D)</p> Signup and view all the answers

Which fungus is traditionally used to prevent or stop nose bleeds?

<p>Bovista pila (C)</p> Signup and view all the answers

Which category of infections are rare and can be lethal if untreated?

<p>Invasive infections (A)</p> Signup and view all the answers

What should individuals be cautious of regarding wild mushrooms?

<p>They could be harmful if not identified correctly. (C)</p> Signup and view all the answers

Which of the following conditions is specifically associated with C. albicans?

<p>Candidemia (D)</p> Signup and view all the answers

What is the average mortality rate of untreated candidemia?

<p>20-50% (C)</p> Signup and view all the answers

Which fungal species is known to be encapsulated and commonly found in soils and bird droppings?

<p>C. neoformans (A)</p> Signup and view all the answers

Invasive infections caused by yeasts primarily affect which group of people?

<p>Immunocompromised patients (D)</p> Signup and view all the answers

What is the common environmental source associated with Cryptococcus sp. infections?

<p>Eucalyptus trees (A)</p> Signup and view all the answers

What is the commonest fungal infection of humans?

<p>Tinea pedis (B)</p> Signup and view all the answers

Which category of fungi is responsible for systemic diseases where pulmonary disease is absent?

<p>Yeasts (C)</p> Signup and view all the answers

What treatment is typically used for tinea infections?

<p>Topical antifungal therapy (A)</p> Signup and view all the answers

Candidemia typically requires an average hospital stay of how many weeks?

<p>2-8 weeks (B)</p> Signup and view all the answers

What is a significant trait of Candida albicans that allows it to be virulent?

<p>Morphological switch (C)</p> Signup and view all the answers

What type of primary disease is associated with dimorphic fungi?

<p>Pulmonary disease with prominent dissemination (A)</p> Signup and view all the answers

Which of the following is NOT a known environmental origin for dermatophytes?

<p>Bacteriophile (D)</p> Signup and view all the answers

What percentage of the population is estimated to be affected by Tinea unguium?

<p>5-10% (D)</p> Signup and view all the answers

Which of the following fungi is NOT a main pathogen in the systemic disease category?

<p>Aspergillus fumigatus (C)</p> Signup and view all the answers

Which of the following conditions is characterized by Candida infections?

<p>Oral thrush (D)</p> Signup and view all the answers

What is the treatment duration for oral antifungals when addressing onychomycosis?

<p>3-6 months (B)</p> Signup and view all the answers

What is often the outcome of tinea infections in terms of recurrence?

<p>Recurrence is common (A)</p> Signup and view all the answers

What organism is primarily responsible for ringworm infections?

<p>Dermatophytes (C)</p> Signup and view all the answers

Flashcards

Teonanacatl

The name given by the Aztecs to psilocybin mushrooms, translating to "god's flesh".

Psilocybin

A psychoactive compound found in certain mushrooms, known for its hallucinogenic effects. It acts as an agonist at the 5-HT2A receptor in the brain, influencing serotonin levels.

Ergot Fungus

A parasitic fungus (Claviceps purpurea) that grows on rye, producing potent alkaloids, including ergotamine and lysergic acid, which can lead to various health issues including hallucinations and ergotism.

Ergotism

A disease caused by the consumption of ergot-infected grains, leading to various symptoms including hallucinations, gangrene, convulsions, and mental disturbances. It's historical significance is notable as it was linked to the Salem Witch Trials.

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Agonist

A substance that binds to a specific receptor site on a cell, triggering a biological response. In the context of Psilocybin, it acts as an agonist at the 5-HT2A receptor, mimicking the effects of serotonin.

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Scheele's Green

A pigment containing cupric arsenite, a compound toxic to humans, that was utilized in art.

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Trimethylarsine

A volatile, poisonous compound that is a byproduct of the decomposition of Scheele's Green.

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Gosio's Disease

A chronic form of arsenic poisoning caused by the inhalation of trimethylarsine.

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Fungal Secondary Metabolites

A diverse range of compounds produced by fungi that often have biological activity.

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Superficial Fungal Infection

An infection that primarily affects the outer layers of skin, hair, or nails. They are usually treatable and rarely life-threatening.

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Invasive Fungal Infection

A fungal infection that spreads beyond the surface and enters deeper tissues or organs.

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Immunocompromised Patients

Individuals whose immune systems are weakened, making them more susceptible to invasive fungal infections.

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Ringworm

A common fungal infection of the skin caused by dermatophytes. It is characterized by itchy, red, circular rashes.

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Tinea

A genus of dermatophytes that cause superficial fungal infections like ringworm and athlete's foot.

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Tinea unguium

A fungal infection of the nails, often caused by dermatophytes.

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Tinea pedis

A fungal infection of the feet, commonly known as athlete's foot.

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Oral thrush

A fungal infection of the mouth caused by Candida albicans.

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Candida albicans

A type of yeast that is a common commensal organism in humans. It can cause infections like oral thrush.

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Dermatophytes

Fungi that feed on keratin, a protein found in skin, hair, and nails, and cause superficial infections like ringworm and athlete's foot.

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Superficial infections

Fungal infections that affect only the outer layers of the skin, hair, and nails.

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Topical antifungal therapy

Treatment for fungal infections that involves applying antifungal medications directly to the affected area.

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Systemic Fungal Infection

Invasive fungal infection affecting multiple organs, often without obvious signs in the lungs.

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Primary Pulmonary Fungal Infection

Invasive fungal infection that begins in the lungs and can spread to other organs.

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Candidemia

A bloodstream infection caused by Candida yeast.

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Cryptococcal Infections

Invasive fungal infections caused by Cryptococcus yeast.

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Cryptococcus neoformans & Cryptococcus gattii

Two common species of Cryptococcus yeast that cause invasive infections.

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Cryptococcus: Environment

Cryptococcus yeast can be found in soil, around eucalyptus trees, and in bird droppings.

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Cryptococcus: Characteristics

Cryptococcus is a type of yeast that belongs to the Basidiomycota group and has an encapsulation around it.

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Study Notes

Medical Mycology Overview

  • Medical mycology is the study of fungi and their impact on human health.
  • Fungi can cause both superficial and invasive infections.
  • Superficial infections are often benign and common in immunocompetent individuals.
  • Invasive infections are rare, easily untreated, and predominantly affect immunocompromised individuals.
  • Fungal intoxications, including lethal intoxications, can be caused by various fungal species.

Fungal Intoxications

  • Some fungi contain toxins that can cause serious illnesses or death.
  • Amanita and Galerina species, found in Quebec, contain amatoxins.
  • Amatoxins are heat-stable toxins responsible for most deaths from mushroom poisoning.
  • A lethal dose of amatoxins is 0.1mg/kg (up to 15mg per capsule).
  • Psilocybin and psilocin are hallucinogens found in "magic mushrooms".
  • Consumption can cause visual and auditory hallucinations, anxiety, nausea, and muscle twitching.
  • The production, sale and possession of these mushrooms are illegal in Canada.

Scheele's Green Bioremediation

  • Scopulariopsis brevicaulis (a fungus) can bioremediate cupric arsenite by converting it into trimethylarsine.
  • This is a method of detoxifying the environment containing potentially harmful elements.

Secondary Metabolites

  • Fungal secondary metabolites are a diverse group of compounds often exploited for commercial and medical applications.
  • Some, like aflatoxin, remain major health or economic concerns.
  • Diverse fungal species are used in traditional medicine by First Nation peoples.
    • Examples include using Fomes fomentarius to treat arthritis or Amanita muscaria in concoctions for eye drops

Psychoactive Intoxications

  • Claviceps purpurea, the ergot fungus, infects rye and produces LSD.
  • Lysergic acid and diethylamine combine to form LSD.
  • Historical instances exist documenting the implications, including colonial trials in the 17th century (U.S.A.) associated with ergot poisoning in bread causing mass hysteria.

Invasive Infections - Yeasts

  • Candida is a commensal organism found in the human GI tract, mouth, and vaginal flora.
  • Candida species can cause bloodstream infections, called candidemia, which can be fatal.
  • Cryptococcus species are encapsulated yeasts found in soil, eucalyptus trees, and bird droppings.
  • Cryptococcus gatti is pathogenic to both animals and humans.
  • It was linked to same sex mating, emerging as a pathogen in immunocompetent hosts.
  • Symptoms such as pneumonia, meningitis are common.
  • Cryptococcal meningitis is a significant health issue, especially for immunocompromised individuals.

Invasive Infections - Molds

  • Aspergillus fumigatus, a common mold, causes invasive pulmonary aspergillosis in immunocompromised patients.
  • Symptoms associated with this infection are frequently mistaken as other conditions.
  • The infection can have high mortality rates.
  • Rhizopus, Absidia and Mucor, are also common fungal infections.

Invasive Infections - Dimorphic Fungi

  • Dimorphic fungi (like Histoplasma, Paracoccidioides, Blastomyces) change forms depending on the environment (mycelium vs. yeast).
  • They are geographically restricted in range and also cause systemic diseases, affecting internal organs and other bodily systems.
  • Blastomyces dermatididis is an example of dimorphic fungi, found in the Great Lakes and Mississippi Valley regions.
  • This fungus can affect immunocompetent individuals, too.

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Description

Explore the fascinating field of medical mycology and its significance in human health. This quiz covers topics such as fungal infections, their implications, and toxic species that can lead to serious health issues. Understand the difference between superficial and invasive infections as well as the risks associated with certain fungi.

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