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Medical Mycology
General Characters
These organisms are classified as
a kingdom, Fungi, which is separate
from plants, animals, protists and bacteria
One major difference is that fungal cells
have cell walls that contain chitin, contain
cellulose (cellulase enzymes)
FUNGAL INFECTIONS
• The study of fungi is known as mycology and
scientist who study fungi is known is a
mycologist
• A fungus is a member of a large group of
eukaryotic organisms
• Microorganisms such as yeasts and molds, as well
as the more familiar mushrooms
• Over 60,000 species of fungi are known
• Fungi are important for the environment.
• They are normally harmless to humans
• Fungi can be opportunistic pathogens.
Structure
• The main body of most fungi is made up of fine,
branching, usually colourless threads called
hyphae
• Several of these t hyphae, all intertwining to make
up a tangled web called the mycelium
• Most fungi are multinucleate and multicellular
organisms with cross wall called septa or
aseptate
• Yeasts are unicellular
1- General Characters
•Eukaryotic Organisms (i.e true nucleus)
•Non-Vascular Organisms
•Non-motile except few fungi
•Vegetative body may be:
unicellular Filamentous
Septated Non-Septated
‫الخلية‬ ‫وحيد‬ ‫الفطرية‬ ‫الخلية‬
005
YEASTS AND MOLDS
•Molds - multicellular
•Yeasts - unicellular
•The simplest form of growth is budding.
•Buds are called blastoconidia.
•Seen in yeasts.
…..Classification of Fungi
1-Zygomycetes
• Unenclosed zygospores produced at ends of
hyphae
• Example: Black bread mold Rhizopus
2-Ascomycetes
• Ascospores are enclosed in asci (sac-like
structures) at the ends of hyphae or yeasts
• Examples: Penicillium, Saccharomyces
..Zygomycota
• Conjugation Fungi
…..Classification of Fungi
3-Basidiomycetes
• Basidiospores are produced on a club-shaped
structure called a basidium
• Example: Mushrooms, Cryptococcus
4-Deuteromycetes
• “Imperfect fungi”
• No sexual stage is known for these fungi
• Many parasitic fungi fall into this class
• Examples: Candida, Epidermophyton
Economic Importance
Harmful
•Cause human,animal, plant
disease directly or their toxins
•Cause rot of food
•Can destroy manufactured
good
Useful
•Yeast bread & brew
•Antibiotics penicillin
•Steroids and Hormons
•Stinky Cheeses
•Source of organic compost
•Source of food
to
CLASSIFICATION OF
PATHOGENIC FUNGI
according to the site of infection
Only 100 species are pathogenic to human
Fungal diseases are classified into 4 groups:
•Superficial mycoses
•Mucocutaneous mycoses
•Subcutaneous mycoses
•Deep mycoses
SUPERFICIAL MYCOSES
Fungal infections that do not involve a tissue
response:
– colonization of the hair shaft causing black
or white nodules
– brown or black superficial skin lesions
•– folliculitis on the scalp and eyebrows
…SUPERFICIAL MYCOSES
•Favus – destruction of the hair follicle.
•Pityriasis – dermatitis characterized by
redness of the skin and itching:
•Caused by hypersensitivity reactions to
fungi normally found on skin
•Mostly seen in immunocompromised
patients.
…CUTANEOUS AND
MUCOCUTANEOUS MYCOSES
Ringworm – skin lesions characterized by red margins,
scales and itching:
•Classified based on location of infection
– on the feet or between the toes
– between the fingers, in wrinkles on the palms
lesions on the hairy skin around the genitalia
– scalp and eyebrows
Dermatomycoses
• Dermatomycoses are any fungal infection of
the skin or hair.
• Caused by many different species and are
generally named after the infected area
rather than the species that causes it.
• Dermatomycoses are one of the most
frequent sources of lesions on the skin.
…Dermatomycoses
Cause: Several genera of dermatophytic
fungi
– Trichophyton,
– Microsporum,
– Epidermophyton,
– Grow on skin, hair, nails
– Transmitted by contact with infected persons
or animals
Microbiology: A Clinical Approach © Garland Science
..CUTANEOUS
www.doctorfungus.org
Topical preprations of many azole
antifungal antibiotics such as
ketoconazole or itraconazole is
often sufficient for treatment
MUCOCUTANEOUS MYCOSES
Associated with:
•Eyes
•Sinuses
•Oropharynx and external ears
•Vagina
Common Fungal Diseases
• Candidiasis
• Dermatomycoses
• Respiratory Fungal Infections
Candidiasis
Cause: Candida albicans
– Dimorphic fungus of the class
Deuteromycetes
– Grows as yeast or pseudohyphae
– Spread by contact; often part of normal flora
– Opportunistic infections common
– Vulvo-vaginitis
– Oral candidiasis (thrush)
– Intestinal candidiasis
Nystatin is the drug of choice In
Oral Thrush
…CUTANEOUS AND
MUCOCUTANEOUS MYCOSES
•Mucocutaneous candidiasis – colonization of the
mucous membranes
•Caused by the yeast Candida albicans
•Often associated with a loss of immunocompetence
•Thrush – fungal growth in the oral cavity
•Vulvovaginitis – fungal growth in the vaginal canal
•Can be associated with a hormonal imbalance
SUBCUTANEOUS MYCOSES
Localized primary infections of subcutaneous
tissue:
•Can cause the development of cysts and
granulomas.
•E.X :- Mycetoma
DEEP MYCOSES
Deep mycoses Usually seen in immunosuppressed
patients with:
•AIDS
•Cancer
•Un controlled Diabetes Type 1 (Insuline dependent)
•Can be acquired by:
•Inhalation of fungi or fungal spores
•Use of contaminated medical equipment
•Deep mycoses can cause a systemic infection –
disseminated mycoses
•Can spread to the skin
..DEEP MYCOSES
Coccidiomycoses – caused by genus Coccidioides
•Primary respiratory infection
•Leads to fever, bronchial pneumonia
•Usually resolves spontaneously due to immune
defense
•Some cases are fatal
…DEEP MYCOSES
Histoplasmosis – caused by Histoplasma capsulatum
•Often associated with immunodeficiency
•Causes the formation of granulomas
•Can necrotize and become calcified
•If disseminated, histoplasmosis can be fatal.
…DEEP MYCOSES
Aspergillosis – caused by several species of Aspergillus
•Associated with immunodeficiency
•Can be invasive and disseminate to the blood and
lungs
•Causes acute pneumonia
•Mortality is very high.
•Death can occur in a matter of weeks.

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Fungi.ppt revised.pdf

  • 2. General Characters These organisms are classified as a kingdom, Fungi, which is separate from plants, animals, protists and bacteria One major difference is that fungal cells have cell walls that contain chitin, contain cellulose (cellulase enzymes)
  • 3. FUNGAL INFECTIONS • The study of fungi is known as mycology and scientist who study fungi is known is a mycologist • A fungus is a member of a large group of eukaryotic organisms • Microorganisms such as yeasts and molds, as well as the more familiar mushrooms • Over 60,000 species of fungi are known • Fungi are important for the environment. • They are normally harmless to humans • Fungi can be opportunistic pathogens.
  • 4. Structure • The main body of most fungi is made up of fine, branching, usually colourless threads called hyphae • Several of these t hyphae, all intertwining to make up a tangled web called the mycelium • Most fungi are multinucleate and multicellular organisms with cross wall called septa or aseptate • Yeasts are unicellular
  • 5.
  • 6. 1- General Characters •Eukaryotic Organisms (i.e true nucleus) •Non-Vascular Organisms •Non-motile except few fungi •Vegetative body may be: unicellular Filamentous Septated Non-Septated
  • 8. 005
  • 9. YEASTS AND MOLDS •Molds - multicellular •Yeasts - unicellular •The simplest form of growth is budding. •Buds are called blastoconidia. •Seen in yeasts.
  • 10. …..Classification of Fungi 1-Zygomycetes • Unenclosed zygospores produced at ends of hyphae • Example: Black bread mold Rhizopus 2-Ascomycetes • Ascospores are enclosed in asci (sac-like structures) at the ends of hyphae or yeasts • Examples: Penicillium, Saccharomyces
  • 12. …..Classification of Fungi 3-Basidiomycetes • Basidiospores are produced on a club-shaped structure called a basidium • Example: Mushrooms, Cryptococcus 4-Deuteromycetes • “Imperfect fungi” • No sexual stage is known for these fungi • Many parasitic fungi fall into this class • Examples: Candida, Epidermophyton
  • 13.
  • 14. Economic Importance Harmful •Cause human,animal, plant disease directly or their toxins •Cause rot of food •Can destroy manufactured good Useful •Yeast bread & brew •Antibiotics penicillin •Steroids and Hormons •Stinky Cheeses •Source of organic compost •Source of food to
  • 15.
  • 16. CLASSIFICATION OF PATHOGENIC FUNGI according to the site of infection Only 100 species are pathogenic to human Fungal diseases are classified into 4 groups: •Superficial mycoses •Mucocutaneous mycoses •Subcutaneous mycoses •Deep mycoses
  • 17. SUPERFICIAL MYCOSES Fungal infections that do not involve a tissue response: – colonization of the hair shaft causing black or white nodules – brown or black superficial skin lesions •– folliculitis on the scalp and eyebrows
  • 18. …SUPERFICIAL MYCOSES •Favus – destruction of the hair follicle. •Pityriasis – dermatitis characterized by redness of the skin and itching: •Caused by hypersensitivity reactions to fungi normally found on skin •Mostly seen in immunocompromised patients.
  • 19.
  • 20.
  • 21.
  • 22. …CUTANEOUS AND MUCOCUTANEOUS MYCOSES Ringworm – skin lesions characterized by red margins, scales and itching: •Classified based on location of infection – on the feet or between the toes – between the fingers, in wrinkles on the palms lesions on the hairy skin around the genitalia – scalp and eyebrows
  • 23. Dermatomycoses • Dermatomycoses are any fungal infection of the skin or hair. • Caused by many different species and are generally named after the infected area rather than the species that causes it. • Dermatomycoses are one of the most frequent sources of lesions on the skin.
  • 24. …Dermatomycoses Cause: Several genera of dermatophytic fungi – Trichophyton, – Microsporum, – Epidermophyton, – Grow on skin, hair, nails – Transmitted by contact with infected persons or animals
  • 25. Microbiology: A Clinical Approach © Garland Science ..CUTANEOUS www.doctorfungus.org
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  • 36. Topical preprations of many azole antifungal antibiotics such as ketoconazole or itraconazole is often sufficient for treatment
  • 38. Common Fungal Diseases • Candidiasis • Dermatomycoses • Respiratory Fungal Infections
  • 39. Candidiasis Cause: Candida albicans – Dimorphic fungus of the class Deuteromycetes – Grows as yeast or pseudohyphae – Spread by contact; often part of normal flora – Opportunistic infections common – Vulvo-vaginitis – Oral candidiasis (thrush) – Intestinal candidiasis
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  • 42. Nystatin is the drug of choice In Oral Thrush
  • 43. …CUTANEOUS AND MUCOCUTANEOUS MYCOSES •Mucocutaneous candidiasis – colonization of the mucous membranes •Caused by the yeast Candida albicans •Often associated with a loss of immunocompetence •Thrush – fungal growth in the oral cavity •Vulvovaginitis – fungal growth in the vaginal canal •Can be associated with a hormonal imbalance
  • 44. SUBCUTANEOUS MYCOSES Localized primary infections of subcutaneous tissue: •Can cause the development of cysts and granulomas. •E.X :- Mycetoma
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  • 47. DEEP MYCOSES Deep mycoses Usually seen in immunosuppressed patients with: •AIDS •Cancer •Un controlled Diabetes Type 1 (Insuline dependent) •Can be acquired by: •Inhalation of fungi or fungal spores •Use of contaminated medical equipment •Deep mycoses can cause a systemic infection – disseminated mycoses •Can spread to the skin
  • 48. ..DEEP MYCOSES Coccidiomycoses – caused by genus Coccidioides •Primary respiratory infection •Leads to fever, bronchial pneumonia •Usually resolves spontaneously due to immune defense •Some cases are fatal
  • 49. …DEEP MYCOSES Histoplasmosis – caused by Histoplasma capsulatum •Often associated with immunodeficiency •Causes the formation of granulomas •Can necrotize and become calcified •If disseminated, histoplasmosis can be fatal.
  • 50. …DEEP MYCOSES Aspergillosis – caused by several species of Aspergillus •Associated with immunodeficiency •Can be invasive and disseminate to the blood and lungs •Causes acute pneumonia •Mortality is very high. •Death can occur in a matter of weeks.