Introduction To Mycology

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Introduction 

Mykos: Fungus.



Mycoses: A disease caused by a fungus.

о Fungi are eukaryotic organisms. о Cell wall contains chitin. о Cell membrane contains ergosterol.

Introduction о Most fungi are obligate aerobe, some are facultative anaerobe, but none are anaerobe. о Some fungi reproduce by forming sexual spore & some asexually by forming conidia.

Several Terms о Yeast: Unicellular, oval to round reproduce by asexual budding. о Mold: Long filaments, multicellular (hyphae). May be septate or nonseptate.

Yeast

Structure of a Mushroom

Terminology 

Pseudohyphae – “Hyphae” formed by “budding” yeasts when the buds do not separate from the mother cell.



Mycelium – A term describing the “network” of hyphae.

Terminology 

Dimorphism: Capable of growing in mold or yeast form under different environmental conditions.



Several medically important fungi are thermally dimorphic; Molds in environment & yeast in human.

Reproduction of fungus Asexual: Spores: Arthrospore, Chlamydospore, Blastospore, Sporangiospore. Budding (yeast): New cell grows on mature cell then breaks off. Sexual: Mating: Hyphae of 2 fungi grow together and exchange genetic material. Spores: Zygospore, Ascospore, Basidiospore.

Importance of fungi 

Harmful:



Diseases in plants and animals, Toxins.



Useful:



Primarily decomposers – return organic matter to the soil.



Used to produce antibiotics like penicillin.



Used for food – Pizza, Beer, wine, Bread, mushrooms, yeast.

Risk Factors for Fungal Infections 

Trauma to the skin.



Diabetes & immunocompromised (older pts., steroid use, HIV infection).



Poor nutrition.



Restrictive footwear.



Sports participation.



Living in a warm, moist climate.

Fungal Toxin 

Fungal toxin includes:



Amanitin & phaloidin – Produced by amanita mushrooms are potent hepatotoxic.



Alkaloids (ergotamine & diethylamide) – Produced by Claviceps purpura causes vascular & neurologic effects.



Aflatoxin – Produced by Aspergillus flavus cause liver damage and hepatic carcinoma.

LABORATORY DIAGNOSIS 

Direct microscopic examination: Gram stain, potassium hydroxide (10% KOH), calcofluor white, India ink prperation.



Culture: Sabouraud dextrose agar.



DNA probe.



Serology.

Antifungal drugs 

Antifungal drugs includes:



Amphotericin B: Disrupts cell membrane.



Azoles (Fluconazole, ketoconazole, itrakonazole, miconazole etc. inhibits ergosterol synthesis.



Nystatin – Used topically for candida infection.

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