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58 Cards in this Set

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Pathogen in Tinea cruris commonly associated with epidemics in locker rooms or dormitorries?
Epidermophyton flocossum

-athroconidia are viable in scale (furniture, rugs, linen) for long periods of time
Woods lamps flouresces due to what products?
pteridine products

Woods lamp ois 365 nm nickel oxide filter
DTM turns from yellow to pink in the presence of what kind of dermatophyte products?
alkaline
Hyphae nad air spaces within hair and blue-white flurescence on Wood's lamp examination?
T. schoenleinii

-causes favus--thick yellow crusts of hyphae and skin debris
What in the cell walls of dermatophytes have immuno-inhibitory effects?
Mannans
A fluorescent stain specific for chitin in the fungal cell wall that often successfully demonstrates fungi with apple-green fluorescence?
Calcofluor stain
Triazoles
itraconazole and fluconazole
(inhibit 14a demethylase)

Ketoconazole is an imidazole
M/C/ fungal organism from roof of blister?
T. mentagrophytes
Organism in erythrasma?
Corynebacterium minitussimim-gram + rod.
Coproporphyrinogen III
Most common cause ot Tinea capitis in the world?
M. Canis

-T. tonsurans is m/c cause of tinea capitis in the U.S.
M/C cause of White Superficial onychomycosis?
T. mentagrophytes
other causes-FAA
Fusarium
Acremonium
Aspergillus
Most common non-dermatophyte for lateral yellow brown discoloration?
Scopulariopsis brevicaulis

Scytalidium hyalinum (white disc. of nail) and dimidiatum (black discoloration of nail) also non dermatophyte molds that cause onychomycosis
pencil shaped macroconidia, teardrop shaped microconidia, white wooly front
T. rubrum
Granular front, mahogony reverse, pencil shaped macroconidia with variously shaped microconidia
T. tonsurans
Granular front, buff reverse, pencil shaped macroconidia, clusters of round microconidia, spiral hyphae
T. mentagrophytes
Convoluted, cream to gray, compact chains of chlamydiospores at 37 degrees C
T. verrucosum
Khaki green, suede granular, beaver tail shaped macroconidia with thin walls
E. floccosum
Names for white piedra?
T. beigelli
--(aka-T. ovoides
-T. inkin m/c HIV, pubic
-T. asahii
Dermatophyte class with no microconidia
Epidermophyton

(E. flocossum-like you can hit somebody with it)
(E. Fusarium-banana shaped microconidia)
Trichophyton-microconidia vary in size and shape between species....
T. rubum-bird on a wire
T. menta-spiral hyphae
T. tonsurans-tons of different types, various

T-shoenlinii-Favic chandeliers
M/C with Majocchi's granuloma?
T. rubrum
Which type of tinea capitis fluoresce?
Ectrothrix, microsporum only
Treatment for Nocardia?
Sulfonamides
Endocrine disorder associated with APECED
Hypoparathyroidism
M/C type of aspergillus in burn patients?
A. fusarium

-A. flavus m/c in primary cutaneous disease
(appearance like a dandelion)(pretty) on histo
Fungi that may present with umbilicated papules in immunosuppressed?
Crypto
Histo
Pectinate bodies?
Microsporum audouini
M canis appears similar to M. gypseum except that bodies have?
More of a tail, more of a point and more bodies than
. gypseum
Dimorphic molds
Blastomyces
Histoplasma
Cocciodes
Paracoccidiodies
Sporothirx
Branching Filamentous bacteria
Actinomyces
Nocardia
Streptomyces
3 species dermatophytes?
Microsporum
Trichophyton
Epidermophyton
Zygomycoses
Rhizops
Mucor
Superficial mycosis of black, firm, adherent concretions 1 mm in diamter on scalp, beard, mustache or pubic areas?
Black Piedra
-P. hortae
Tan, white soft non adherent small concretions < 1 mm in diameter, seen on scalp, beard, mustache, pubic areas?
White piedra
-T. ovoides, T. inkin, T. beigelii
Name the Genus of dermatophyte? Macroconidia smooth walled, club-shaped, 2-6 cells, occurs singly or in clusters, thin and thick cell walls. No microconidia, No hair involvement?
Epidermophyton
Microconidia diagnostic, numerous. Macroconidia not distinctive, smooth, thin cell wall, pencil shaped?
Trichophyton
Microconidia present but not distinctive. Macroconidia diagnostic, rough walled (cehinulate), multicellular, barrel-shaped, thick cell wall?
Microsporum
club shaped, in charactersitic clusters. Colony morphology is khaki colored, orange borwn reverse, radial grooves, velvety?
E. floccosum
sptate hyphae with terminal chlamydoconidia with pointed ends. poorly shaped macroconidia. Colony is grey to tan with reverse salmon with reddish brown center, flat surface, "mouse fur appearance"
M. audouinii
M/C cause of tinea capitis worldwide?
M. canis

-thick walled knoblike ends to macroconidia ("dog's tail")
-colony is white fluffy, fur like with reverse deep yellow
polished rice (+)
geophiliic organism
flat powedery colony with cinnamon periphery?
M. gypseum
+ hair perforation test?
T. mentagrophytes
+ pigment production on cornmeal agar with 1% dextrose
T. rubrum
Urease test + red to pink?
T. mentagrophytes
requires inositol and thiamine
T. verrucosum
T. rubrum (anthropophilic dermatophyte) colony appearance?
fluffy to granular white, reverse is non diffusible red

KOH-delicated teardrop shaped microconidia laterally on hyphae
M/C cause of T. capitis in US?
T. tonsurans (black dot immunofluorescence)
-partial thiamine requirement
Subcutaneous mycosis associated with bottle nosed dolphins?
Lacaziosis (aka Lobomycosis)

-organism not culturable
Cutaneous disease in dog handlers, lab workers. Biopsy shows granulomatous reaction or broad based budding cells, 8-15 um, with thick walls?
Blastomycosis
Biopsy: Spherules stain well with PAS, GMS, H and E, 10-80 um containing endospores 2-5 um
Coccidioidomycosis
Biopsy of subctuaneous mycosis shows large, thick-walled round cell (5-50 um) with single and multiple buddings (2-10 mm) attached to mother cell by narrow connections?
Paracoccidiomycosis
(aka brazilian blastomycosis)
Subcutaneous fungal infection with molluscum-like lesions?
Penicilliosis
M/C opportunistic fungal infections?
#1-Candida
#2-Aspergillosis (flower like KOH?)
2 M/C fungi in burn patients?
#1-Fusarium (?A hyphpomycosis)
#2-Aspergillus
Organisms that are angiotrophic and invasive?
Aspergillus
Fusarium
Zygomycetes
Found in stagnant water, Symettrical arrangement of endospores morula, 8-20 um ("soccer ball")?
Protothecosis
Spheruls 250-350 um, endospores appear rough like raspberries. Stains red with mucicarmine?
Rhinosporidiosis
Most specific stain for Chromoblastomycosis?
Fontana Masson