Lecturer: Mr. Osman H. Ali
2
3
Fungi as Infectious Agents
• Fungi are non-motile eukaryote, widely
distributed in air, dust, fomites and normal flora.
• They have a cell wall composed of complex
carbohydrates such as chitin with glucans and
mannose-proteins.
• Ergosterol is the dominant fungal membrane
sterol.
• Grow as single cells (yeasts) or multi-septate,
branching filamentous cells (hyphae).
• Fungi are relatively nonpathogenic and humans
are relatively resistant.
4
Structure
1. Hyphae : filamentous cells
of molds
•
•
•
Septae
Nonseptate or aseptate
Dematiaceous (dark
or hyaline
colored)
(colorless).
Mycelia
•
5
2. Yeasts
• These are single-celled fungi,
generally round to oval shaped.
• They reproduce by budding
(blastoconidia).
3. Pseudohyphae :
• Hyphae with sausagelike
constrictions at septations.
• Formed by some yeasts when
they elongate but remain attached
to each other (Candida albicans). 6
4. Thermally dimorphic fungi:
• These are fungi exist in the
from a yeast or yeast-like in
human and filamentous form
in environment (temperature,
nutrient)
• They include the major
pathogens: Blastomyces,
Coccidioides,
Histoplasma,
Sporothrix and
Paracoccidioides.
7
8
Fungal reproduction
• They reproduce by sexual or asexual
spores.
• Spores morphology may be used in
identification.
❑Asexual reproduction
• Conidia are asexual spores of filamentous
fungi (molds)
Blastoconidia are the new yeast ‘‘buds’’
•
• Arthroconidia are conidia formed by
laying down joints in hyphae followed by
fragmentation of the hyphal strand
9
• Chlamydoconidium is a thick-
walled
rounding
spore formed by
and enlargement
within a hyphal segment
• Sporangiospore formed within a
sporangium, or sac, at the end
of an aerial hypha called a
sporangiophore.
10
❑Sexual reproduction.
mating types come
• In this process, opposite
together
and fuse.
• A visible fruiting body often
results and it is the location of
the haploid spores.
• The most recognized fruiting
body from which spores are
produced is the mushroom.
11
12
Classification
 Depending on cell morphology
1. Yeasts
2. Yeast like fungi
3. Molds
4. Dimorphic fungi
 Unicellular fungi which
reproduce by budding
 On culture - produce smooth,
creamy colonies
e. g Cryptococcus neoformans
(capsulated yeast)
2. Yeast like fungi
 Grow partly as yeasts and partly as elongated
cells resembling hyphae which are called
pseudohyphae.
e.g. Candida albicans
3. Molds/ Filamentous fungi
 Form true mycelia &
reproduce by formation of
different types of spores.
 Vegetative/ aerial
hyphae
e.g. Rhizopus, mucor
4. Dimorphic fungi
 Occur in 2 forms
Molds (Filaments) – 25 0 C (soil)
Yeasts – 370C (in host tissue)
Most fungi causing systemic infections are
dimorphic:
 Histoplasma capsulatum
 Blastomyces dermatidis
 Paracoccidioides brasiliensis
 Coccidioides immitis
 Penicillium marneffei
 Sporothrix schenkii
Systematic classification
 Based on sexual spore formation: 4 classes
1. Zygomycetes
2. Ascomycetes
3. Basidiomycetes
4. Deuteromycetes (fungi imperfectii)
reproduce sexually
19
Fungal nutrition
• Fungi usually grow better in an environment with a
pH5.
• Almost all molds are aerobic. Most yeasts are
facultative anaerobes.
• Most fungi are more resistant to osmotic pressure than
bacteria.
• Fungi can grow on substances with a very low
moisture content, generally too low to support the
growth of bacteria.
20
• Fungi require preformed organic compounds derived
from their environment.
1. Saprobes: live on dead organic material. Some are
opportunistic.
2. Commensal colonizers: generally live in harmony on
humans, deriving their nutrition from compounds on
body surfaces. Some are opportunistic.
3. Pathogens: infect the healthy but cause more severe
disease in the compromised hosts. The damage to living
cells provides nutrition. Most of these are also
environmental saprobes.
21
Fungal disease
1. Fungal allergies : due to spores and volatile fungal
metabolites (sick building syndrome and farmer’s
lung).
2. Mycotoxicoses : ingestion of fungal-contaminated
bread or aflatoxin
foods (e.g., ergot-contaminated
contaminated peanuts).
3. Fungal infections (mycoses)
– True pathogens: Systemic, Subcutaneous, Cutaneous, and
Superficial Mycoses
– Opportunistic mycoses: Increasing prevalence due to
increased use of antibiotics, corticosteroids, and cytotoxic
drugs.
22
23
24
Pathogenesis of the Fungi
• Portal of entry
– Cutaneous and superficial – contamination of skin
surface
– Subcutaneous - inoculated skin; trauma
– Systemic mycoses – respiratory portal; inhaled
spores
• Virulence factors – thermal dimorphism, toxin
production, capsules and adhesion factors,
hydrolytic enzymes, inflammatory stimulants
25
Diagnosis of Mycotic Infections
1. Clinical manifestations
2. Microscopic examination
3. Histologic staining
4. Serologic testing
5. Cultures for fungi
6. Fungal antigen detection
7. DNA probes
26
27
Control of Mycotic Infections
• Immunization is not usually effective.
• Control involves intravenous, oral and
topical antifungal.
• In some cases surgical removal of damaged
tissues
• Prevention limited to masks and protective
clothing to reduce contact with spores
28

introductiontomycology.pptx

  • 1.
  • 2.
  • 3.
    3 Fungi as InfectiousAgents • Fungi are non-motile eukaryote, widely distributed in air, dust, fomites and normal flora. • They have a cell wall composed of complex carbohydrates such as chitin with glucans and mannose-proteins. • Ergosterol is the dominant fungal membrane sterol. • Grow as single cells (yeasts) or multi-septate, branching filamentous cells (hyphae). • Fungi are relatively nonpathogenic and humans are relatively resistant.
  • 4.
  • 5.
    Structure 1. Hyphae :filamentous cells of molds • • • Septae Nonseptate or aseptate Dematiaceous (dark or hyaline colored) (colorless). Mycelia • 5
  • 6.
    2. Yeasts • Theseare single-celled fungi, generally round to oval shaped. • They reproduce by budding (blastoconidia). 3. Pseudohyphae : • Hyphae with sausagelike constrictions at septations. • Formed by some yeasts when they elongate but remain attached to each other (Candida albicans). 6
  • 7.
    4. Thermally dimorphicfungi: • These are fungi exist in the from a yeast or yeast-like in human and filamentous form in environment (temperature, nutrient) • They include the major pathogens: Blastomyces, Coccidioides, Histoplasma, Sporothrix and Paracoccidioides. 7
  • 8.
  • 9.
    Fungal reproduction • Theyreproduce by sexual or asexual spores. • Spores morphology may be used in identification. ❑Asexual reproduction • Conidia are asexual spores of filamentous fungi (molds) Blastoconidia are the new yeast ‘‘buds’’ • • Arthroconidia are conidia formed by laying down joints in hyphae followed by fragmentation of the hyphal strand 9
  • 10.
    • Chlamydoconidium isa thick- walled rounding spore formed by and enlargement within a hyphal segment • Sporangiospore formed within a sporangium, or sac, at the end of an aerial hypha called a sporangiophore. 10
  • 11.
    ❑Sexual reproduction. mating typescome • In this process, opposite together and fuse. • A visible fruiting body often results and it is the location of the haploid spores. • The most recognized fruiting body from which spores are produced is the mushroom. 11
  • 12.
  • 13.
    Classification  Depending oncell morphology 1. Yeasts 2. Yeast like fungi 3. Molds 4. Dimorphic fungi
  • 14.
     Unicellular fungiwhich reproduce by budding  On culture - produce smooth, creamy colonies e. g Cryptococcus neoformans (capsulated yeast)
  • 15.
    2. Yeast likefungi  Grow partly as yeasts and partly as elongated cells resembling hyphae which are called pseudohyphae. e.g. Candida albicans
  • 16.
    3. Molds/ Filamentousfungi  Form true mycelia & reproduce by formation of different types of spores.  Vegetative/ aerial hyphae e.g. Rhizopus, mucor
  • 17.
    4. Dimorphic fungi Occur in 2 forms Molds (Filaments) – 25 0 C (soil) Yeasts – 370C (in host tissue) Most fungi causing systemic infections are dimorphic:  Histoplasma capsulatum  Blastomyces dermatidis  Paracoccidioides brasiliensis  Coccidioides immitis  Penicillium marneffei  Sporothrix schenkii
  • 18.
    Systematic classification  Basedon sexual spore formation: 4 classes 1. Zygomycetes 2. Ascomycetes 3. Basidiomycetes 4. Deuteromycetes (fungi imperfectii) reproduce sexually
  • 19.
    19 Fungal nutrition • Fungiusually grow better in an environment with a pH5. • Almost all molds are aerobic. Most yeasts are facultative anaerobes. • Most fungi are more resistant to osmotic pressure than bacteria. • Fungi can grow on substances with a very low moisture content, generally too low to support the growth of bacteria.
  • 20.
    20 • Fungi requirepreformed organic compounds derived from their environment. 1. Saprobes: live on dead organic material. Some are opportunistic. 2. Commensal colonizers: generally live in harmony on humans, deriving their nutrition from compounds on body surfaces. Some are opportunistic. 3. Pathogens: infect the healthy but cause more severe disease in the compromised hosts. The damage to living cells provides nutrition. Most of these are also environmental saprobes.
  • 21.
    21 Fungal disease 1. Fungalallergies : due to spores and volatile fungal metabolites (sick building syndrome and farmer’s lung). 2. Mycotoxicoses : ingestion of fungal-contaminated bread or aflatoxin foods (e.g., ergot-contaminated contaminated peanuts). 3. Fungal infections (mycoses) – True pathogens: Systemic, Subcutaneous, Cutaneous, and Superficial Mycoses – Opportunistic mycoses: Increasing prevalence due to increased use of antibiotics, corticosteroids, and cytotoxic drugs.
  • 22.
  • 23.
  • 24.
    24 Pathogenesis of theFungi • Portal of entry – Cutaneous and superficial – contamination of skin surface – Subcutaneous - inoculated skin; trauma – Systemic mycoses – respiratory portal; inhaled spores • Virulence factors – thermal dimorphism, toxin production, capsules and adhesion factors, hydrolytic enzymes, inflammatory stimulants
  • 25.
    25 Diagnosis of MycoticInfections 1. Clinical manifestations 2. Microscopic examination 3. Histologic staining 4. Serologic testing 5. Cultures for fungi 6. Fungal antigen detection 7. DNA probes
  • 26.
  • 27.
    27 Control of MycoticInfections • Immunization is not usually effective. • Control involves intravenous, oral and topical antifungal. • In some cases surgical removal of damaged tissues • Prevention limited to masks and protective clothing to reduce contact with spores
  • 28.