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•Fungal infection of animals.
•By Mycosa /Mycotic organisms.
•Fungi like aspergillus, histoplasma /
pathogenic forms.
• Inhaling spores/ colonization on skin
may initiate persistent infections.
•People being treated with antibiotics are
more prone to it.
MYCOSE
S
CUTANEOUS
MYCOSES
SYSTEMIC
MYCOSES
SUPERFICIAL
MYCOSES
SUB
CUTANEOUS
MYCOSES
• Involves dermis , subcutaneous , muscle &
fascia.
•They are chronic & initiated by piercing
trauma.
• Difficult to treat & requires surgery &
caused by bacteria like fungi.
•Limited to skin & subcutaneous tissue.
•Rarely spread to internal organs[slow
spreading].
•Minimal / no symptoms.
CHROMOBLASTOMYCOSIS
MYCETOMA
SPOROTRICHOSIS
LOBOMYCOSIS
RHINOSPORIDIOSIS
• Chronic granulomatous progressive
inflammatory disease.
•Affects deep dermis , subcutaneous tissue &
deep structures like bone.
•1st described in 18th C & named Madura foot.
•‘Painless subcutaneous mass’
•Occurs to those who walk bare foot & injuries
on foot.
o Causative org : Actinomadura madurae
Streptomyces somaliensis
o Identification : morphological & biological
activity in pure culture.
oBiological activity : acid fast, opt temp,
proteolytic activity etc.
oTREATMENT
depends on the extend of the disease.
Amputation /surgical excision.
Antibiotics / chemotheraputic agents.
Combined drug theraphy.
•Long term skin infection.
•Asymptomatic & painless.
•Difficult to cure & migrates to near by areas.
•Migrates by blood / lymph
•Nodules gather & from lumps
CAUSED BY :Fonsecaea compacta
Fonsecaea pedrosoi
•DIAGNOSIS :
-scrap Lesions add KOH & view.
-scraps are identified by culturing
-blood test & staining.
•TREATMENT :
-Cryosurgery with liq.
Nitrogen.
-Antifungal azole taken orally
like
Intraonazole
•Rose gardeners disease.
•Caused by Sporotrix fungus.
•Reside on plants – sphagum, moss, rose bushes
•Affects lungs , brain, bones enters through cuts in
body.
SYMPTOMS
•Nodular lesions- painless & range from pink-
purple.
•Pulmonary sporotrichosis-coughing , TB,
pneumonia.
•Disseminted sporotrichosis – loss of weight.
•DIAGNOSIS
Sputum culture, CSF culture & synovial fluid
culture.
•PREVENTION
Avoids cuts / puncture . Use gloves
•TREATMENT
Amphotericine B , Terbinafine
Surgery / heat therapy.
• Found in humans & bottle nosed dolphins.
•Transfer from one species to another.
•No Human – human transmission .
CAUSED BY :Lacazia loboi
DIAGNOSIS
•Misdiagnosed as Blastomyces dermatitidis
due to similar morphology.
•TREATMENT
•Surgical excision, cryosurgery.
•Anti fungal treatment -itraconazole, dapsone
[prevent reoccurrence]
•Affects mucous membrane of nasopharynx,
oropharynx , conjunctiva.
CAUSED BY : Rhinosporidium subri.
DIAGNOSIS
•Post nasal discharge with cough.
•Confirmed by biopsy & histopathology.
•Bleeding & sneezing
•Fungal infections affecting internal organs.
• Enter via lungs , gut / skin.
•Spread via blood stream to multiple organs.
•Cause multiple organ failure & results in
death .
•Immuno compromised patients are more
predisposed to systemic mycosis.
•Fungi cause systemic infection with normal
immune function.
• eg- Penicillium marniffei.[pencilliosis]
•Result in systemic infections only in immuno
compromised people.
•eg- Candida [candidasis]
• Opportunistic fungal pathogens .
•Candida albicans grow in various morphological
forms.
•Unicellular , oval , diploid fungus.
•Reside commensally in gastrointestinal &
genitourinal tracts.
•Affect : skin , genitals , throat , mouth , blood.
• 75% women suffer from C. albicans in
vulvovaginal tract.
•Babies with nappy rash, people with
metabolic disorders & overweight.
•Pregnant women taking high doze of
contraceptive pills.
•HIV patients & wetland workers.
•4th cause of nosocomial infections in blood
•Caused by abnormal growth of C albicans .
•Occurs due to imbalance in envt. [ woman's
vagina periodically faces imbalance making
women more susceptible than men].
•Excess antibiotics intake decreases LAB &
decreases vaginal pH.
•C. albicans take advantage of fluctuating envt.
& outcompete the normal flora
•Resulting in candidiasis.
•Transmitted from mother to child by
delivery & remains as a part of normal
microflora.
•Rarely transmitted by sexual contact.
•Typical reservoir is normal human
microflora (opportunistic) & not found as
animal vectors.
•Symptoms occur when there is an
imbalance.
•Several factors play role – cell wall adherin
proteins [adheres the organism to host &
prevent their clearance].
•Appears as clearly defined patch of red , itchy
skin leaking fluids.
•Scales & pus is seen around the rash.
•Common in groin, toes, fingers , navel etc.
•Vaginal yeast infection causes slow leakage of
thick , white , cheese like fluid.
•Itch & discomfort during urination.
•Skin scrape sample & skin appearance.
•For oral thrush , antifungal medication is
swished & swallowed.
•Vaginal mucous is examined.
•Staining & swabs are taken.
•Antifungal cream , powder & Antifungal
drug.
•Vaginal infection treatment consists of
antifungal medication administered
directly onto vagina.
•Tablets , creams , ointments .
•Eg- Fluconazole
•Skin infections are treated with antifungal
powders & creams.
•Affected areas are kept clean & dry.
•Intravenous treatment with fluconazole,
• Intravenous Antifungal drug –
caspofungin / micafungin.
•Use antibiotics that doctor prescribes.
•Keep skin dry & clean.
•HIV & diabetic patients are kept under
tight control.
•It’s a sub-acute/chronic infection .
•By C neoformans & C gattii.
•4 serotypes – A, B, C, D.
•Round / ovoid cells.
•4-20 micometer diameter.
•Prominent polysaccharide capsule.
• source : bird excretion.
•Route : by inhalation of aerosol through lungs.
:other route is skin / mucosa.
•Yeast cells & basidiospores are infectious.
•Crosses blood – brain barrier.
•Cells migrate across endothelium / carried
inside macrophages as trojan horses.
•POLYSACCHARIDE CAPSULE : anti-
phagocytic & inhibit host local immune
response.
• ABILITY TO MAKE MELANIN : produce
phenyloxidase that break caffeic acid to
melanin.
Specimen collection : CSF , Blood , Sputum ,
Skin scrapings.
MICROSCOPY
• Negative Staining : by Indian Ink & Nigrosin stain.
•Capsule : appears as refractile delinated clear space
around cells.
•Drawback : Indian ink is less sensitive.
GRAM STAINING
•Gram +ve , surrounded by halo .
•Other stains : alacin blue stain[show capsule stain]
Culture
•Specimen : inoculated on SDA , incubated
at 37 degree C.
Blood culture in Biphasic blood culture bottles.
•Colony morphology : mucoid creamy white colonies
flat / slightly heaped.
shiny smooth edges.
•Other medium : Inositol Agar with chloramphenicol.
inhibit candida growth.
have no hyphae.
Biochemical confirmation
•Urease test : +ve.
•Mouse pathogenicity test : inoculation of
colonies into mice intraperitonally .
•Latex agglutination test (LAT): +ve
•TREATMENT
•Amphotericin-B
•5 flurocystosine
•Triazoles
-Pulmonary Cryptococcus
Chronic cough , low grade fever , mucoid /
blood tinged sputum & weight.
Disseminated infections
-CNS cryptococcus
-visceral cryptococcus
-cutaneous cryptococcus
-ocular cryptococcus.
subcutaneous Mycosis & systemic mycosis

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subcutaneous Mycosis & systemic mycosis

  • 1.
  • 2. •Fungal infection of animals. •By Mycosa /Mycotic organisms. •Fungi like aspergillus, histoplasma / pathogenic forms. • Inhaling spores/ colonization on skin may initiate persistent infections. •People being treated with antibiotics are more prone to it.
  • 4.
  • 5. • Involves dermis , subcutaneous , muscle & fascia. •They are chronic & initiated by piercing trauma. • Difficult to treat & requires surgery & caused by bacteria like fungi. •Limited to skin & subcutaneous tissue. •Rarely spread to internal organs[slow spreading]. •Minimal / no symptoms.
  • 7. • Chronic granulomatous progressive inflammatory disease. •Affects deep dermis , subcutaneous tissue & deep structures like bone. •1st described in 18th C & named Madura foot. •‘Painless subcutaneous mass’ •Occurs to those who walk bare foot & injuries on foot.
  • 8. o Causative org : Actinomadura madurae Streptomyces somaliensis o Identification : morphological & biological activity in pure culture. oBiological activity : acid fast, opt temp, proteolytic activity etc. oTREATMENT depends on the extend of the disease. Amputation /surgical excision. Antibiotics / chemotheraputic agents. Combined drug theraphy.
  • 9. •Long term skin infection. •Asymptomatic & painless. •Difficult to cure & migrates to near by areas. •Migrates by blood / lymph •Nodules gather & from lumps CAUSED BY :Fonsecaea compacta Fonsecaea pedrosoi
  • 10. •DIAGNOSIS : -scrap Lesions add KOH & view. -scraps are identified by culturing -blood test & staining. •TREATMENT : -Cryosurgery with liq. Nitrogen. -Antifungal azole taken orally like Intraonazole
  • 11. •Rose gardeners disease. •Caused by Sporotrix fungus. •Reside on plants – sphagum, moss, rose bushes •Affects lungs , brain, bones enters through cuts in body. SYMPTOMS •Nodular lesions- painless & range from pink- purple. •Pulmonary sporotrichosis-coughing , TB, pneumonia. •Disseminted sporotrichosis – loss of weight.
  • 12. •DIAGNOSIS Sputum culture, CSF culture & synovial fluid culture. •PREVENTION Avoids cuts / puncture . Use gloves •TREATMENT Amphotericine B , Terbinafine Surgery / heat therapy.
  • 13. • Found in humans & bottle nosed dolphins. •Transfer from one species to another. •No Human – human transmission . CAUSED BY :Lacazia loboi DIAGNOSIS •Misdiagnosed as Blastomyces dermatitidis due to similar morphology.
  • 14. •TREATMENT •Surgical excision, cryosurgery. •Anti fungal treatment -itraconazole, dapsone [prevent reoccurrence]
  • 15. •Affects mucous membrane of nasopharynx, oropharynx , conjunctiva. CAUSED BY : Rhinosporidium subri. DIAGNOSIS •Post nasal discharge with cough. •Confirmed by biopsy & histopathology. •Bleeding & sneezing
  • 16. •Fungal infections affecting internal organs. • Enter via lungs , gut / skin. •Spread via blood stream to multiple organs. •Cause multiple organ failure & results in death . •Immuno compromised patients are more predisposed to systemic mycosis.
  • 17. •Fungi cause systemic infection with normal immune function. • eg- Penicillium marniffei.[pencilliosis] •Result in systemic infections only in immuno compromised people. •eg- Candida [candidasis]
  • 18. • Opportunistic fungal pathogens . •Candida albicans grow in various morphological forms. •Unicellular , oval , diploid fungus. •Reside commensally in gastrointestinal & genitourinal tracts. •Affect : skin , genitals , throat , mouth , blood.
  • 19. • 75% women suffer from C. albicans in vulvovaginal tract. •Babies with nappy rash, people with metabolic disorders & overweight. •Pregnant women taking high doze of contraceptive pills. •HIV patients & wetland workers. •4th cause of nosocomial infections in blood
  • 20. •Caused by abnormal growth of C albicans . •Occurs due to imbalance in envt. [ woman's vagina periodically faces imbalance making women more susceptible than men]. •Excess antibiotics intake decreases LAB & decreases vaginal pH. •C. albicans take advantage of fluctuating envt. & outcompete the normal flora •Resulting in candidiasis.
  • 21. •Transmitted from mother to child by delivery & remains as a part of normal microflora. •Rarely transmitted by sexual contact. •Typical reservoir is normal human microflora (opportunistic) & not found as animal vectors. •Symptoms occur when there is an imbalance.
  • 22. •Several factors play role – cell wall adherin proteins [adheres the organism to host & prevent their clearance].
  • 23. •Appears as clearly defined patch of red , itchy skin leaking fluids. •Scales & pus is seen around the rash. •Common in groin, toes, fingers , navel etc. •Vaginal yeast infection causes slow leakage of thick , white , cheese like fluid. •Itch & discomfort during urination.
  • 24. •Skin scrape sample & skin appearance. •For oral thrush , antifungal medication is swished & swallowed. •Vaginal mucous is examined. •Staining & swabs are taken.
  • 25. •Antifungal cream , powder & Antifungal drug. •Vaginal infection treatment consists of antifungal medication administered directly onto vagina. •Tablets , creams , ointments . •Eg- Fluconazole
  • 26. •Skin infections are treated with antifungal powders & creams. •Affected areas are kept clean & dry. •Intravenous treatment with fluconazole, • Intravenous Antifungal drug – caspofungin / micafungin.
  • 27. •Use antibiotics that doctor prescribes. •Keep skin dry & clean. •HIV & diabetic patients are kept under tight control.
  • 28. •It’s a sub-acute/chronic infection . •By C neoformans & C gattii. •4 serotypes – A, B, C, D. •Round / ovoid cells. •4-20 micometer diameter. •Prominent polysaccharide capsule.
  • 29. • source : bird excretion. •Route : by inhalation of aerosol through lungs. :other route is skin / mucosa. •Yeast cells & basidiospores are infectious. •Crosses blood – brain barrier. •Cells migrate across endothelium / carried inside macrophages as trojan horses.
  • 30. •POLYSACCHARIDE CAPSULE : anti- phagocytic & inhibit host local immune response. • ABILITY TO MAKE MELANIN : produce phenyloxidase that break caffeic acid to melanin.
  • 31. Specimen collection : CSF , Blood , Sputum , Skin scrapings. MICROSCOPY • Negative Staining : by Indian Ink & Nigrosin stain. •Capsule : appears as refractile delinated clear space around cells. •Drawback : Indian ink is less sensitive. GRAM STAINING •Gram +ve , surrounded by halo . •Other stains : alacin blue stain[show capsule stain]
  • 32. Culture •Specimen : inoculated on SDA , incubated at 37 degree C. Blood culture in Biphasic blood culture bottles. •Colony morphology : mucoid creamy white colonies flat / slightly heaped. shiny smooth edges. •Other medium : Inositol Agar with chloramphenicol. inhibit candida growth. have no hyphae.
  • 33. Biochemical confirmation •Urease test : +ve. •Mouse pathogenicity test : inoculation of colonies into mice intraperitonally . •Latex agglutination test (LAT): +ve •TREATMENT •Amphotericin-B •5 flurocystosine •Triazoles
  • 34. -Pulmonary Cryptococcus Chronic cough , low grade fever , mucoid / blood tinged sputum & weight. Disseminated infections -CNS cryptococcus -visceral cryptococcus -cutaneous cryptococcus -ocular cryptococcus.