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Universities Press
© Universities Press (India) Private Limited
MEDICAL MYCOLOGY
Dr. Vaishali
Universities Press
© Universities Press (India) Private Limited
MYCOLOGY
Mycology – a branch of Microbiology that
deals with the study of fungi
Characteristics of fungus
• Eukaryotes
• Cell wall contains chitin and mannan
• Cytoplasmic membrane contains sterols
• Divide asexually, sexually or by both
methods
• May be unicellular or multicellular
Universities Press
© Universities Press (India) Private Limited
CLASSIFICATION OF FUNGI
Morphological classification (Continued…
Universities Press
© Universities Press (India) Private Limited
Morphological classification …Continues)
Universities Press
© Universities Press (India) Private Limited
CLASSIFICATION OF FUNGI
Morphologic classification
• Yeast: Unicellular – Cryptococcus
• Yeast-like: Unicellular, forms pseudo
hyphae – Candida
• Filamentous fungi or moulds: Multicellular –
composed of hyphae – Aspergillus
• Dimorphic: Multicellular with hyphae,
filamentous at 22°C and yeast forms at 37°C
– Histoplasma
Universities Press
© Universities Press (India) Private Limited
CLASSIFICATION OF FUNGI
Systemic classification (Continued…
Universities Press
© Universities Press (India) Private Limited
Systemic classification
…Continues)
Universities Press
© Universities Press (India) Private Limited
CLASSIFICATION OF FUNGI
Systemic classification
1. Phycomycetes: Lower fungi, non-septate
hyphae, sporangia with sporangiospores
2. Ascomycetes: Yeast and filamentous fungi
3. Basidiomycetes: Forms sexual spores on
basidium – basidiospores
4. Deuteromycetes or fungi Imperfecti: Sexual
phase not identified – medically important
fungi
Universities Press
© Universities Press (India) Private Limited
CLASSIFICATION OF FUNGI
Pathogenic classification
• Primarily pathogenic: Causes infection in
healthy individuals – Histoplasma
capsulatum
• Opportunistic pathogens: Causes infection
only in immunosuppressed – Mucor,
Rhizopus
Universities Press
© Universities Press (India) Private Limited
PATHOGENICITY
• Tissue invasion
– Superficial mycoses
– Cutaneous mycoses
– Subcutaneous OR Deep mycoses
• Mycotoxicosis:
- Aflatoxin and ergotoxin.
• Hypersensitivity (allergic) reaction
– Allergic bronchopulmonary aspergillosis
– Allergic fungal rhino sinusitis
Universities Press
© Universities Press (India) Private Limited
LABORATORY DIAGNOSIS OF FUNGAL INFECTION
• Specimen collection – from affected site – in
deep infections, blood
• Direct microscopy
– 10% potassium hydroxide (KOH) – skin
scrapings
– Gram stain – Candida
– India ink – Cryptococcus
– Lactophenol cotton blue(LPCB) – hyphae
in fungal culture, tease mount
Universities Press
© Universities Press (India) Private Limited
Universities Press
© Universities Press (India) Private Limited
LABORATORY DIAGNOSIS OF FUNGAL INFECTION
• Culture
– Sabouraud’s dextrose agar pH 5.4, bird seed
agar,corn meal agar.
– Cycloheximide to prevent contaminant moulds.
– Morphology study in tease mount,
– cellophane mounts or slide culture
• Serology
– Antibody or antigen detection
– Skin tests using antigens
• Molecular methods
– Nucleic acid hybridisation
– Polymerase chain reaction (PCR)
Universities Press
© Universities Press (India) Private Limited
SDA agar without growth
SDA agar with growth
Universities Press
© Universities Press (India) Private Limited
ANTI-FUNGAL AGENTS
Anti-fungal agents … Continued)

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intro to mycology.pptx

  • 1. Universities Press © Universities Press (India) Private Limited MEDICAL MYCOLOGY Dr. Vaishali
  • 2. Universities Press © Universities Press (India) Private Limited MYCOLOGY Mycology – a branch of Microbiology that deals with the study of fungi Characteristics of fungus • Eukaryotes • Cell wall contains chitin and mannan • Cytoplasmic membrane contains sterols • Divide asexually, sexually or by both methods • May be unicellular or multicellular
  • 3. Universities Press © Universities Press (India) Private Limited CLASSIFICATION OF FUNGI Morphological classification (Continued…
  • 4. Universities Press © Universities Press (India) Private Limited Morphological classification …Continues)
  • 5. Universities Press © Universities Press (India) Private Limited CLASSIFICATION OF FUNGI Morphologic classification • Yeast: Unicellular – Cryptococcus • Yeast-like: Unicellular, forms pseudo hyphae – Candida • Filamentous fungi or moulds: Multicellular – composed of hyphae – Aspergillus • Dimorphic: Multicellular with hyphae, filamentous at 22°C and yeast forms at 37°C – Histoplasma
  • 6. Universities Press © Universities Press (India) Private Limited CLASSIFICATION OF FUNGI Systemic classification (Continued…
  • 7. Universities Press © Universities Press (India) Private Limited Systemic classification …Continues)
  • 8. Universities Press © Universities Press (India) Private Limited CLASSIFICATION OF FUNGI Systemic classification 1. Phycomycetes: Lower fungi, non-septate hyphae, sporangia with sporangiospores 2. Ascomycetes: Yeast and filamentous fungi 3. Basidiomycetes: Forms sexual spores on basidium – basidiospores 4. Deuteromycetes or fungi Imperfecti: Sexual phase not identified – medically important fungi
  • 9. Universities Press © Universities Press (India) Private Limited CLASSIFICATION OF FUNGI Pathogenic classification • Primarily pathogenic: Causes infection in healthy individuals – Histoplasma capsulatum • Opportunistic pathogens: Causes infection only in immunosuppressed – Mucor, Rhizopus
  • 10. Universities Press © Universities Press (India) Private Limited PATHOGENICITY • Tissue invasion – Superficial mycoses – Cutaneous mycoses – Subcutaneous OR Deep mycoses • Mycotoxicosis: - Aflatoxin and ergotoxin. • Hypersensitivity (allergic) reaction – Allergic bronchopulmonary aspergillosis – Allergic fungal rhino sinusitis
  • 11. Universities Press © Universities Press (India) Private Limited LABORATORY DIAGNOSIS OF FUNGAL INFECTION • Specimen collection – from affected site – in deep infections, blood • Direct microscopy – 10% potassium hydroxide (KOH) – skin scrapings – Gram stain – Candida – India ink – Cryptococcus – Lactophenol cotton blue(LPCB) – hyphae in fungal culture, tease mount
  • 12. Universities Press © Universities Press (India) Private Limited
  • 13. Universities Press © Universities Press (India) Private Limited LABORATORY DIAGNOSIS OF FUNGAL INFECTION • Culture – Sabouraud’s dextrose agar pH 5.4, bird seed agar,corn meal agar. – Cycloheximide to prevent contaminant moulds. – Morphology study in tease mount, – cellophane mounts or slide culture • Serology – Antibody or antigen detection – Skin tests using antigens • Molecular methods – Nucleic acid hybridisation – Polymerase chain reaction (PCR)
  • 14. Universities Press © Universities Press (India) Private Limited SDA agar without growth SDA agar with growth
  • 15. Universities Press © Universities Press (India) Private Limited ANTI-FUNGAL AGENTS Anti-fungal agents … Continued)