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By :
Osama Al-Zahrani
@OSAMA_Z96
* Sample :
1- Skin infection :
Skin scraping for fungi.
2- Nails infection :
Nail scraping for fungi.
3- Hairs infection :
Infected hair for fungi.
* Test :
1- Direct microscopy by KOH Preparation :
- 10% for skin scraping.
- 20% for nails scraping.
- Fungal elements are seen (Hyphe & spore).
2- Culture :
Growth of mycelia.
* Test :
Microscopy KOH preparation for fungi.
* Result :
Fungal elements are seen (Hyphe & spore).
Hyphae
Spore
MicrosporumEpidermophyton Trichophyton
Morphology of fungal elements under microscope
* Test :
Skin KOH preparation for fungai.
* Result :
Fungal elements are seen (Hyphe & spore).
* Diagnosis :
Tinea corporis (Body infection).
* Test :
Skin KOH preparation for fungai.
* Result :
Fungal elements are seen (Hyphe & spore).
* Diagnosis :
Tinea pedis (athlete’s foot).
* Test :
Nail KOH preparation for fungai.
* Result :
Fungal elements are seen (Hyphe & spore).
* Diagnosis :
Tinea unguium (Tinea of nail).
* Test :
Hair KOH preparation for fungai.
* Result :
Fungal elements are seen (Hyphe & spore).
* Diagnosis :
Tinea capitis (Scalp ringworm).
* Sample :
- For staphylococcus aureus & streptococcus pyogens :
1- Fluid.
2- Pus.
- For mycobacterium leprae :
1- Nasal scrapings.
2- Biopsies of skin lesions.
* Test :
1- Gram stain.
2- Culture on blood agar.
3- Antibiotic Sensitivity test.
Folliculitis Abscess
* Test :
Gram stain.
* Result :
Gram positive cocci in clusters.
* Diagnosis :
Staphylococcus aureus.
* Test :
Culture in blood agar.
* Result :
Growth in blood agar.
* Diagnosis :
Staphylococcus aureus.
* Test :
Culture in Mannitol salt agar.
* Result :
Yellow colour due to fermentation of mannitol.
* Diagnosis :
Staphylococcus aureus.
Used to diagnose Staphylococcus aureus
Impetigo
* Test :
Gram stain.
* Result :
Gram positive cocci arrange in chains.
* Diagnosis :
Streptococcus pyogenes.
* Test :
Culture in blood agar.
* Result :
Haemolyse blood.
* Diagnosis :
Streptococcus pyogenes.
* Test :
Antibiotic sensitivity test.
* Result :
Bacitracin sensitive.
Used for identification of group A hemolytic streptococci
Tuberculoid leprosyLepromatous leprosy
* Test :
Acid-fast stain (Ziehl–Neelsen).
* Result :
Acid fast bacilli of Mycobacterium leprae.
* Diagnosis :
Lepromatous leprosy.
Test used to diagnose Mycobacterium tuberculosis & Mycobacterium leprae
Test used to diagnose Mycobacterium leprae

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Microbiology (lab diagnosis result of fungal and bacterial skin infections)

  • 2.
  • 3. * Sample : 1- Skin infection : Skin scraping for fungi. 2- Nails infection : Nail scraping for fungi. 3- Hairs infection : Infected hair for fungi. * Test : 1- Direct microscopy by KOH Preparation : - 10% for skin scraping. - 20% for nails scraping. - Fungal elements are seen (Hyphe & spore). 2- Culture : Growth of mycelia.
  • 4. * Test : Microscopy KOH preparation for fungi. * Result : Fungal elements are seen (Hyphe & spore).
  • 6.
  • 7. * Test : Skin KOH preparation for fungai. * Result : Fungal elements are seen (Hyphe & spore). * Diagnosis : Tinea corporis (Body infection).
  • 8.
  • 9. * Test : Skin KOH preparation for fungai. * Result : Fungal elements are seen (Hyphe & spore). * Diagnosis : Tinea pedis (athlete’s foot).
  • 10.
  • 11. * Test : Nail KOH preparation for fungai. * Result : Fungal elements are seen (Hyphe & spore). * Diagnosis : Tinea unguium (Tinea of nail).
  • 12.
  • 13. * Test : Hair KOH preparation for fungai. * Result : Fungal elements are seen (Hyphe & spore). * Diagnosis : Tinea capitis (Scalp ringworm).
  • 14.
  • 15. * Sample : - For staphylococcus aureus & streptococcus pyogens : 1- Fluid. 2- Pus. - For mycobacterium leprae : 1- Nasal scrapings. 2- Biopsies of skin lesions. * Test : 1- Gram stain. 2- Culture on blood agar. 3- Antibiotic Sensitivity test.
  • 17. * Test : Gram stain. * Result : Gram positive cocci in clusters. * Diagnosis : Staphylococcus aureus.
  • 18. * Test : Culture in blood agar. * Result : Growth in blood agar. * Diagnosis : Staphylococcus aureus.
  • 19. * Test : Culture in Mannitol salt agar. * Result : Yellow colour due to fermentation of mannitol. * Diagnosis : Staphylococcus aureus.
  • 20. Used to diagnose Staphylococcus aureus
  • 22. * Test : Gram stain. * Result : Gram positive cocci arrange in chains. * Diagnosis : Streptococcus pyogenes.
  • 23. * Test : Culture in blood agar. * Result : Haemolyse blood. * Diagnosis : Streptococcus pyogenes.
  • 24. * Test : Antibiotic sensitivity test. * Result : Bacitracin sensitive.
  • 25. Used for identification of group A hemolytic streptococci
  • 27. * Test : Acid-fast stain (Ziehl–Neelsen). * Result : Acid fast bacilli of Mycobacterium leprae. * Diagnosis : Lepromatous leprosy.
  • 28. Test used to diagnose Mycobacterium tuberculosis & Mycobacterium leprae
  • 29. Test used to diagnose Mycobacterium leprae