Superficial and Opportunistic Mycoses
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Questions and Answers

______ mycoses involve the hair, skin, or nails, infecting keratinized tissues without direct invasion of deeper tissues.

Opportunistic

______ is a type of opportunistic mycoses that can affect the skin, mucosa, or nails.

Candidiasis

Tinea nigra, pityriasis versicolor, and piedra are all examples of ______ mycoses.

opportunistic

Unlike subcutaneous mycoses, opportunistic mycoses typically show ______ invasion of deeper tissues.

<p>no direct</p> Signup and view all the answers

Fungal infections classified as ______ mycoses specifically target the outermost layer of skin or hair.

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

Most fungi are more resistant to ______ than bacteria, allowing them to thrive in environments with high sugar or salt concentrations.

<p>osmotic pressure</p> Signup and view all the answers

Unlike bacteria, the cell membranes of fungi contain ______, which influences membrane fluidity and permeability.

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

Fungi and bacteria differ in their cell wall composition; fungi contain glucans, mannans, and ______, providing structural support, whereas bacteria have peptidoglycan.

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

The ability of fungi to exist in either mycelial or yeast forms is known as ______, allowing them to adapt to various environmental conditions and host niches.

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

Fungi can typically grow in more ______ conditions than bacteria, which prefer more neutral conditions.

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

While most yeasts are facultative anaerobes, almost all ______ are obligate aerobes, requiring oxygen for growth.

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

The capacity of fungi to reproduce via ______ facilitates their dispersal and survival in diverse environments, which differs from bacterial spore function.

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

Unlike bacteria, fungi possess cellular organelles such as ______, which are crucial for energy production through aerobic respiration.

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

The urease test is used to differentiate Trichophyton mentagrophytes (+), from _Trichophyton _______ (-).

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

The single most useful nutritional test for dermatophytes assesses the ______ requirement of the fungi.

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

In the thiamine requirement test, tubes of media with and ________ thiamine are inoculated to observe growth differences.

<p>without</p> Signup and view all the answers

For the thiamine requirement test, the inoculated tubes are typically observed for growth after 10 to ______ days.

<p>14</p> Signup and view all the answers

The urease test utilizes Christensen ______ Agar as the required media.

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

The urease test is incubated for 5 days at ______ temperature.

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

In the thiamine requirement test, a tiny, medium-______ portion of the colony is used for inoculation.

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

Tests for the identification of molds include the urease test and the ______ requirement test.

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

To inhibit bacterial growth in fungal culture media, common antimicrobials such as ______ and chloramphenicol are often used.

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

[Blank] is an antimicrobial agent added to fungal culture media to inhibit the growth of many environmental fungi often considered contaminants.

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

Sabouraud dextrose agar, potato dextrose agar and BHI agar enriched with blood are the examples of general purpose ______ growth medium.

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

When dimorphic fungi are suspected, cultures should be incubated at 35°C, in addition to the usual 25°C-30°C, to induce the ______ phase.

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

Fungal cultures are typically incubated for 21 to 30 days and examined at least twice weekly to monitor ______ and detect slow-growing species.

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

Maintaining 40% to 50% ______ in the incubator, often achieved with an open pan of water, prevents the culture media from drying out.

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

Macroscopic examination of fungal cultures involves assessing gross morphologic traits such as color, texture, and ______.

<p>growth rate</p> Signup and view all the answers

Observing pigment on the reverse side of the colony or in the aerial ______ is an important aspect of macroscopic fungal culture examination.

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

For germ tube production, _Candida _______ requires the use of serum or plasma.

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

To detect the presence of yeast in mouth, throat, or vaginal specimens, a ______ is performed.

<p>Tease Mount</p> Signup and view all the answers

In a germ tube test, true germ tubes are identified by the lack of ______ at their bases.

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

_Candida _______ is known for producing constricted germ tubes rather than true germ tubes.

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

A ______ is utilized when fungi are atypical or an uncommon species is suspected.

<p>Slide Culture</p> Signup and view all the answers

In carbohydrate utilization tests, yeast and yeast-like fungi are inoculated onto a ______-free medium.

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

When examining fungal specimens microscopically, one must observe whether the hyphae are septate versus ______ septate.

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

The API 20C yeast ID system is the most ______ used method for carbohydrate assimilation testing.

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

The color of hyphae, whether ______ or phaeoid, is an important characteristic to note during microscopic examination of fungi.

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

______ substrates are used in yeast identification to differentiate species based on different colony colors.

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

The types, size, shape, and ______ of conidia are important features to observe when examining a fungal specimen microscopically.

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

For temperature studies, Cryptococcus spp. has an optimal temperature for growth at ______ °C, while C. albicans grows at 42° C.

<p>25</p> Signup and view all the answers

For specimens from respiratory, bone marrow, and blood sources, especially if a dimorphic fungus is suspected, incubation may be extended to ______ days.

<p>28</p> Signup and view all the answers

For detecting fungal pathogens in tissues and sterile body fluids other than blood, an incubation period of ______ days is typically used.

<p>21</p> Signup and view all the answers

In testing for germ tube production, after the substrate is inoculated, it is incubated at 35° C for ______ hours.

<p>3</p> Signup and view all the answers

In the ______ method, a solution is applied to the specimen to clear epidermal cells, allowing for better visualization of fungal elements.

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

Flashcards

Opportunistic Mycoses

Fungal infections caused by organisms that typically don't affect healthy individuals.

Superficial Mycoses

A fungal infection affecting the outermost layer of skin or hair.

Candidiasis

A superficial fungal infection affecting skin, mucosa, or nails, often caused by Candida species.

Tinea Nigra

A superficial fungal infection causing dark brown or black spots, usually on the palms or soles.

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Pityriasis Versicolor

A superficial fungal infection causing discolored patches on the skin, often due to Malassezia furfur.

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Fungi vs. Antibiotics

Fungi are typically not affected by antibacterial drugs.

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Mold's Oxygen Need

Most molds require oxygen to survive.

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Yeast's Oxygen Flexibility

Most yeasts can survive with or without oxygen.

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Fungi's Osmotic Resistance

Fungi are more tolerant to high osmotic pressure environments.

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Fungi's Moisture Tolerance

Fungi can thrive in drier conditions than bacteria.

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Fungi Nucleus

Fungi have a defined nucleus with a nuclear membrane.

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Fungi Mitochondria

Fungi contain mitochondria, allowing for energy production.

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Fungi Growth pH

Fungi prefer slightly acidic conditions for growth.

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Sabouraud Dextrose Agar

General purpose fungal growth medium used in mycology.

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Antimicrobial Agents in Media

Media with added agents to inhibit bacterial growth.

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Gentamicin and Chloramphenicol

Commonly used antimicrobials to inhibit bacterial growth in fungal cultures.

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Cycloheximide

An antimicrobial that inhibits bacteria and many environmental fungi, often considered contaminants.

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Fungal Incubation Temperature

Temperature range for incubating fungal cultures in ambient air.

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Incubation Temp for Dimorphic Fungi

For suspected dimorphic fungi, incubate at this higher temperature.

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Humidity for Fungal Incubation

Maintain this humidity level during fungal incubation.

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Macroscopic Fungal Traits

Color, texture, and growth rate of fungal colonies.

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Tease Mount/Cellophane Tape Prep

Used to detect yeast in mouth, throat, or vaginal specimens.

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Microscopic Exam (21 Days)

Used to detect fungal pathogens in tissues and sterile body fluids.

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Microscopic Exam (28 Days)

Used for respiratory, bone marrow, and blood pathogens, especially dimorphic fungi.

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Direct Mounting

Most common procedure for microscopic examination.

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Slide Culture

Used when fungi are atypical or an uncommon species is recovered.

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Septate Hyphae

Hyphae with divisions.

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Hyaline Hyphae

Hyphae that are clear or colorless.

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10-20% KOH

Traditionally recommended method for rapid detection of fungal elements.

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Mold Identification Tests

Tests used to classify molds.

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Urease Test

A test to distinguish T.mentagrophytes (positive) from T.rubrum (negative).

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Urease Test Media

Christensen Urea Agar

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Urease Test Incubation

5 days at Room Temperature

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Thiamine Requirement Test

A key nutritional test for identifying dermatophytes based on their need for thiamine.

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Thiamine Test Setup

Two tubes needed, one with and one without thiamine.

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Thiamine Test Duration

After 10-14 days

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Germ Tube Test

A test for identifying Candida albicans involving inoculation in serum or plasma and incubation at 35°C for 3 hours.

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True Germ Tubes

Germ tubes that don't have constrictions at their bases.

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Pseudo-Germ Tubes

Germ tubes that have constrictions at their bases; characteristic of Candida tropicalis.

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Carbohydrate Assimilation Test

A test to identify which carbohydrates a yeast can use aerobically as a sole carbon source.

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API 20C Yeast ID System

A common yeast identification system that is often used in testing.

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Chromogenic Substrates

Identification based on different colony colors produced by the yeast.

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CHROMagar Candida

A chromogenic agar used to identify Candida species based on colony color.

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Temperature Studies (Yeast ID)

Some species like Cryptococcus spp. grow best at 25°C but will show weak growth at 35°C. C.albicans grows at 42° C.

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