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vegetative
food-absorbing hyphae under surface of agar
mold
yeast/mold have hyphae
aerial
hyphae that extend above agar surface supporting conidia
aseptate
no cross walls
septate
have cross walls
terminal
chlamydospores at hyphal tip
intercalary
chlamydospores within hyphae
sessile
chlamydospores arising on side of hyphae
hyaline
describes colorless/white pigmentation
dematiaceous
describes brown/black pigmentation
37
yeast/tissue phase growth temp
dimorphism
fungi grow as yeast at one temp and as mold in another
25
mold phase growth temp
sporangiospores
asexual spores of zygomycetes
-form within sac like struct
sporangia
structure that holds asexual spores of zygomycetes
conidia
arise by budding off specialized hyphae (not in sac)
conidiophores
specialized hyphal structures that produce conidia
metulae
terminal branches of conidiophores in Penicillium spp
asexual
imperfect reproduction
-structures: phialoconidia, annelloconidia, arthroconidia, blastoconidia, macro/microconidia, sporangia
sexual (telomorph)
perfect reproduction
-requires joining of two compatible nuclei followed by meiosis
-two forms: asexual (anamorph) and synamorph
anamorph
asexual form of telomorph
synamorph
telomorph producing more than one anamorph
ascospores
sexual spores
cleistothecium
round structure that holds ascospores and ascus
-class Ascomycota
-pac man when open
Zygomycota (zygomycetes)
-soil molds
-asexual stage seen most freq
-sporangiospores on aseptate hyphae
Ascomycota (ascomycetes)
-ascospores and ascus
-Pseudoallescheria boydii
Basidiomycota (basidiomycetes)
-produce basidiospores sexually
-sexual form of Cryptococcus neoformans
Deuteromycetes
-Fungi imperfecti
-identified by asexual reproductive structures
-majority of pathogenic fungi
superficial
mycoses affecting outermost layer of skin or hair
-tinea versicolor
cutaneous
mycoses affecting keratinized tissue
-Dermatophyte infections
-itchy, scaly skin, brittle hair, discolored nail
subcutaneous
mycosis of deeper skin layers: muscle, connective tissue, bone
-chromoblastomycosis
-phaeohyphomycosis
-eumycotic mycetoma
systemic
disseminated mycosis: internal organs or deep tissues
-dimorphics
opportunistic
mycoses infections by
-aseptate and hyaline fungi
-septate and hyaline saprophytes
-septate and dematiaceous saprophytes
rugose
-topography morphology
-deep furrows irregularly radiating from center of culture
umbonate
-topography morphology
-button-like central elevation
verrucose
-topography morphology
-wrinkled, convoluted surface with no defined center
2
BSL for working with fungi
hood
bench/hood is best place to work with fungi
no
yes/no
negative pressure rooms are required to work with fungi
saline wet prep
direct examination of yeast specimen
lactophenol cotton blue (LPCB)
-primary stain
-molds
phenol
LPCB component that kills orgs
cotton blue
LPCB component that stains chitin of cell walls
lactic acid
LPCB component that preserves fungal struct
calcofluor white
-fluorescent dye
-blue
-binds to polysacch in chitin
KOH
clearing agent for fluorescence examination
-green
-breaks down keratin and skin layers
india ink
-negative stain
-observe yeast capsule
-usually CSF cultures
Periodic acid Schiff (PAS)
histology stain
-fungal elem light pink or green against background
Gomori methenamine silver (GMS)
histology stain
-fungal elem black against green background
gentamicin, chloramphenicol, cyclohexamide
antibiotics in inhibitory media
gentamicin
antibiotic inhibits bacteria
chloramphenicol
antibiotic inhibits fungus-like bacteria and yeast phases of dimorphic fungi
cycloheximide
antibiotic inhibits fungus-like bact, many yeasts and fungal opportunists (sapros)
sabouraud dextrose agar (SDA)
-general media
-acid pH with high dextrose to inhibit bact
-yeast isolation
inhibitory mold agar (IMA)
-general media
-nutrient rich
-contains antibiotics to inhibit bact
-fungus selective
BHI
-general media
-nutrient rich
-contains blood, peptone, dextrose, maybe antibiotics
-nonselective, but good for dimorphics
cycloheximide
-general media
-inhibits sapro fungi
-promotes growth of slow-growing, pathogenic fungi
CHROMagar
-general media
-chloramphenicol
-selective for yeast
-color to identify yeast species
mycosel
-general media
-chloramphenicol and cycloheximide
-selective for dermatophytes (skin, hair, nail samples)
potato dextrose agar (PDA)
-special media
-stresses mold to get sporulation
-repro struct and pigment
rice agar with Tween 80
special media for yeast structure identification
cornmeal
special media for repro/struct for mold and yeast identification
-chlamydospores, blastoconidia, arthroconidia, pseudohyphae
bird seed agar
-special media
-phenol oxidase activity in C. neoformans
-black: pos
aerobic (O2)
ambient air for incubation
4-6 wks
time held for no growth
one month
Histoplasma hold time for no growth
2
read plates x times a week
shrink seal
how to keep fungi from drying out during incubation
scotch tape
procedure used to visualize mold with LPCB
true
true/pseudo germ tube lacks constriction around base
pseudo
true/pseudo germ tube has constriction around base
42
temp study for Candida
-C. albicans grows
-C. dublinensis does not
trehalose
-carbohydrate assimilation and fermentation test
-pos identifies C. glabrata
5 day urease
test pos for Trichophyton mentagraphytes, Cryptococcus, and Rhodotorula
-neg for Trichophyton rubrum and Candida spp.
-pink: pos
hair perforation
-penetration: pos
-Trichophyton mentargraphytes pos
-Trichophyton rubrum neg (surface erosion only)
Cryptococcus
testing involves latex agglutination for antigen detection
Aspergillus
testing involves exoantigen immunodiffusion or temperature studies
qualitative (colorimetric)
Fungitell STAT
-detection of (1,3)-B-D-glucan
-immunocompromised patients with risk of disseminated fungal infections
-Candida, Apergillus, Pneumocystis
fluorescence (CO2)
BD BACTEC FX40
-automated blood culture system
-detection for mycobacteria, yeast, fungi using Myco/F lytic bottle
macrolides
therapy for Aspergillus, Candida, Cryptococcus
-Amphotericin B
azoles
therapy for Candida, C. neoformans, Coccidioides, Histoplasma, Paracoccidioides, Blastomyces
-ketoconazole, fluconazole, itraconazole, posaconazole, voriconazole
echinocandins
therapy for Candida and Aspergillus
-caspofungin
allylamines
therapy for fungal nail inf or onyochomycosis, athletes foot
-terbinafine (Lamisil)
Flucytosine
antifungal therapy for Candida, C. neoformans, Aspergillus
Griseofulvin
antifungal therapy for dermatophytes: Microsporum, Epidermophyton, Trichophyton
Macrolides, Azoles, Echinocandins, Allylamines
four classes of mycoses therapy