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macroscopic fungi
large, visible fungi that are primarily distinguished by their reproductive structures.
mushrooms, rusts, smuts, puffballs, truffles, morels
microscopic fungi
small, often unicellular fungi that can only be seen under a microscope, including molds and yeasts
ergosterol
treats fungal disease
fungal growth and nutrition
heterotrophic
aerobic
grows best at room temperature
moist conditions
slightly acidic pH (5-6)
absorb smaller nutrients
fungal benefits in nature
recycles nutrients
mutualism with algae and plats
fungal benefits in industry
antibiotics
drugs
food
yeast for bread and fermentation
chemicals
fungal organization (yeast)
mostly round, some rods
parent cells form blastospores by budding
scar is left on the parent cell where spore released
vegetative mycelium
grows as a network of filamentous hyphae to digest and absorb nutrients
asexual sporulation
fruiting bodies form on the mycelium which produce spores
asexual spores are genetic clones
types on asexual spores
blastospores (Canidia)
conidiospores (Aspergillus, Penicillium)
sporangiospores (Rhizopus)
arthrospores (Coccidioides)
sporulation
The process by which fungi produce spores, either sexually or asexually, to reproduce and disperse
dimorphism
The ability of some fungi to exist in two different forms, typically as yeast or mold, depending on environmental conditions
thermal dimorphism
subcutaneous
inoculated skin from trauma
systemic
invasive fungal infection affecting internal organs, typically respiratory (inhaled spores)
true infection
well-developed degree of virulence
restricted to endemic regions
highly thermal dimorphic
opportunistic infections
infections that occur when the immune system is compromised, often caused by organisms that do not typically cause disease in healthy individuals.
anti fungal drugs
target cell membrane and wall
Dermatophytosis
aka ringworm
cutaneous mycoses
pathogenic form: mold
reservoir: skin, hair, nails, soil
transmission: contact with hyphae or spores on contaminated material
clinical features: cutaneous disease of epidermis, hair, and nails
clinical subtypes: tinea pedis (athlete’s foot), tinea capitis (scalp hair), alopecia common (hair loss), tinea corporis (body), tinea cruris (groin or jock itch), tinea unguium (nail)
risk group: irritated damp skin
diagnosis: direct examination of skin
treatment: topical or oral azoles
Sporotrichosis
aka rose thorn disease
pathogenic form: yeast
subcutaneous mycoses
etiological agent: Sporothrix schenckii
reservoir: soil, plants (roses)
transmission: direct inoculation through skin
clinical features: chronic skin lesions and ulcerations
diagnosis: culture of the organism from lesions
treatment: oral potassium iodide.
Blastomycosis
aka Gilchrist’s disease
pathogenic form: thick walled yeast
systemic mycosis from primary pathogen
etiological agent: Blastomyces dermatitidis
reservoir: soil, decaying organic matter
transmission: inhalation of spores
clinical features: pulmonary disease, skin lesions, systemic symptoms
diagnosis: culture or serology
treatment: Amphotericin B and azoles
risk group: immunocompromised individuals
Coccdioidomycosis
aka valley fever
systemic mycosis from the primary pathogen
pathogenic form: spherules with endospores
etiological agent: Coccidioides immitis
reservoir: soil in arid regions (SW America)
transmission: inhalation of spores
pathogenesis: enter lungs, convert to spherules containing endospores, swell and burst, high potential for spore dissemination
clinical features: flu-like symptoms, pulmonary issues, and skin lesions
diagnosis: serology or culture
treatment: Amphotericin B and azoles
Histoplasmosis
aka Ohio Valley Fever or Darling’s Disease
pathogenic form: yeast in phagocytes
systemic mycosis from primary pathogens
etiological agent Histoplasma capsulatum
reservoir: moist or dry dusty soil, Ohio/Mississippi river valleys
transmission: inhalation of spores
clinical features: flu-like symptoms, respiratory issues, disseminated disease in severe cases
diagnosis: culture or serology
treatment: Amphotericin B and azole
Aspergillosis
etiologic agent: Aspergillus fumigatus
pathogenic form: mold
systemic mycoses from opportunistic pathogens
Allergic Bronchopulmonary Aspergillosis (treated with steroids)
Aspergilloma: golf ball-sized fungal ball in the lung cavities
reservoir: decaying organic matter
transmission: inhalation of spores
clinical features: respiratory infections, allergic reactions, and systemic disease
diagnosis: culture or serology
treatment: voriconazole and other antifungals
Candidias
etiologic agent: Candida albicans
pathogenic form: yeast
systemic mycosis from opportunistic pathogen
reservoir: normal flora of humans
transmission: opportunistic infection in immunocompromised individuals (vaginal canal to new born, STD)
clinical features: oral thrush, yeast infections, and systemic infections
attacks URT, GI, nails, and vagina
diagnosis: culture or serology
treatment: fluconazole and other antifungals
Cutaneous Candidiasis
clinical manifestation: red rash, inflammation, pustules in damp skin areas
common in intertriginous areas, such as skin folds and under breasts. It occurs when yeast overgrows due to moisture and friction.
Vulvovaginitis
vaginal yeast disease
clinical manifestation: yellow-white cheesy curd-like growth on vaginal wall, itching, pain, discharge
sexually transmitted
Oral Candidiasis
thrush
clinical manifestation: white curd-like growth on the mucous membrane of the mouth
risk group: newborns and elderly
common in immunocompromised individuals, can spread from the vagina.
Cryptococcosis
etiologic agent: Cryptococcus neoformans
pathogenic form: encapsulated yeast
systemic mycosis from opportunistic pathogens
reservoir: associated with birds, soils that are nitrogen-enriched from droppings, urban areas
transmission: inhalation of airborne yeast cells into the alveoli
clinical manifestation: meningitis, mild pulmonary diseases
diagnosis: lumbar puncture
Pneumocystis
etiologic agent: Pneumocystis jiroveci
pathogenic form: cystic yeast
systemic mycosis from opportunistic pathogen
reservoir: wildspread
transmission: respiratory droplets or organisms inhaled into the lungs
clinical features: forms yeast/cysts in lung tissue, immunocompromised people develop Pneumocystis Carinii Pneumonia (PCP), likely in AIDS patients
treatement: Pentamidine, Thrimethoprim-sulfamethoxazole
Aflatoxicosis
A disease caused by exposure to aflatoxins, toxic compounds produced by certain molds, primarily affecting the liver and associated with dietary contamination.
encystment
The process by which certain microorganisms form a protective cyst around themselves to survive unfavorable environmental conditions.
excystment
The process where a dormant cyst reverts to its active, vegetative form, typically after exposure to favorable environmental conditions.
trophozoite
The active, motile feeding stage of certain protozoa, characterized by its ability to obtain nutrients and reproduce.
Amoebiasis
etiologic agent: Entamoeba histolytica
2nd leading cause of death from parasitic disease in the world
reservoir: humans, food, water
transmission: fecal-oral
attacks GI
treatment: Metronidazole
Primary Amoebic Meningoencephalitis (PAM)
etiologic agent: Naegleria fowleri
reservoir: warm fresh water with high bacteria counts
transmission: accidental parasite, lots of exposure, swimming, sinus rinses
path: migrate from mucosa to brain via olfactory nerve
attacks the brain
diagnosis: analyze CSF
treatment: 95% fatal
Giardiasis
etiologic agent: Giardia lamblia
reservoir: humans, animals
transmission: fecal-oral
path: ingest cyst, trophozoite coats SI, interferes with fat absorption, foul-smelling stool, trophozoites or cysts in feces
attacks GI
diagnosis: stool tests
treatment: Metronidazole or Tinidazole
Trichomoniasis
etiologic agent: Trichomonas vaginalis
reservoir: humans (incubation of 5-28 days)
transmission: sexual contact
clinical manifestation: often asymptomatic but can cause vaginal discharge, itching, and discomfort
diagnosis: microscopic examination of discharge
treatment: Metronidazole
Toxoplasmosis
etiologic agent: Toxoplasma gondii
reservoir: cat feces, undercooked meat
transmission: ingestion of oocysts or cysts
attacks CNS, lymph nodes, and can cross the placenta attacking the fetus
diagnosis: serological tests or imaging
treatment: pyrimethamine and sulfadiazine
Pinworm disease
most prevalent helminth
etiologic agent: Enterobius vermicularis
life cycle: egg ingested, larvae in SI and migrate to LI, female migrates to the perianal area at night and lay eggs, eggs passed hand to mouth
treatment: mebendazole
Whipworm disease
etiologic agent: Trichuris trichiura
life cycle: eggs ingested, larvae emerge and attach to SI, adults migrate to LI and attach, mature adults produce 100s of eggs per day for a year, feces in soil
treatment: mebendazole
Ascariasis
etiologic agent: Ascaris lumbricoides
life cycle: eggs ingested, larvae emerge in LI, larvae penetrate intestinal wall, enter circulatory/lymphatic system and migrate to lung, larvae coughed up from lung, swallowed and reach intestines for 2nd time, mature to adults in SI, mate and produce eggs, feces in soil
attacks GI and LRT
treatment: mebendazole
Hookworm
etiologic agent: Necator americanus
life cycle: eggs enter soil from human feces, Rhabditiform larvae emerge, revert to filariform larvae, larvae in soil enter through skin, larvae enter blood/lymphatic, enter lungs, coughed up and swallowed, larvae migrate to SI, intestinal hemorrhage leads to bloody diarrhea
attacks GI, muscle, and CNS
treatment: mebendazole
Trichinosis
etiologic agent: Trichinella spiralis
life cycle: cysts shed in fecal waste, cysts in soil ingested by pigs, larvae emerge in animal intestine, larvae migrate to muscle and cysts form, humans consume undercooked pork with cysts
Tapeworm
etiologic agent: Taenia saginata (beef) or Taenia solium (pork)
life cycle: eggs or proglottids passed in feces, contaminated food or water ingested, larvae develop in intestine, attach to intestinal wall, mature into adults, produce proglottids that are expelled in feces.
treatment: praziquantel
properties of viruses
lack of structure
genome contains DNA or RNA
no independent metabolic reactions
replicate only within host cells
virus envelope
aids in attachment and penetration of host cell membrane
virus spikes
are glycoprotein structures on the surface of viruses that facilitate attachment to host cells, playing a crucial role in the infection processand are essential for viral entry into host cells.
virus capsid
is the protein shell of a virus that encases and protects its genetic material, providing structural support and aiding in the delivery of the viral genome into host cells
virus nucleocapsid
is a complex of the viral capsid and the nucleic acid it protects, serving as a critical component for virus assembly and infection
virus life cycle (replication)
spikes, capsids, or envelope attach to host cell surface
penetration of virus into host cell
uncoating of viral nucleic acid
replication, synthesis, and assembly of viral structures
release of virions from host cell
positive RNA viruses
are a group of viruses that have positive-sense single-stranded RNA genomes, which can be directly translated into proteins by the host cell's ribosomes
These viruses typically replicate within the cytoplasm and can include notable examples such as poliovirus and coronaviruses.
negative RNA viruses
are a group of viruses that contain negative-sense single-stranded RNA genomes, which must be converted into positive-sense RNA by an RNA polymerase before they can be translated into proteins
These viruses often replicate in the cytoplasm and include examples like influenza and Ebola viruses.
retroviruses
are a group of RNA viruses that reverse transcribe their RNA genome into DNA after entering a host cell. This DNA is then integrated into the host's genome, allowing the virus to replicate with the host's cellular machinery.
Cytopathic Effect (CPE)
host cell changes due to viral infection
visible cell abnormalities
interferon
precents viral replication in cells by inducing the expression of antiviral proteins and enhancing the immune response.
viral replication in DNA viruses
is the process by which DNA viruses use the host's cellular machinery to produce new viral genomes and proteins after entering the host cell.
viral replication in positive and negative RNA viruses
is the process by which RNA viruses utilize the host's ribosomes to translate their RNA into proteins and replicate their genomes, differing in how they use their RNA as a template for mRNA production.
viral replication in retroviruses
is the process by which retroviruses convert their RNA genome into DNA using reverse transcriptase upon entering the host cell, integrating into the host genome to produce new viral particles.
viroid
causes disease in plants
has naked nucleic acid
prion
infectious abnormal protein
disease in animals (mad cow disease)
cysticerci
the encysted larval forms of certain Taenia species, which typically infest muscles of mammalian intermediate hosts