Three types of tinea pedis
Interdigital
Mocassin distribution
Vesicular
Inflammatory lung disease with granulomatous nodules
Blastomycosis
Erythematous scaling lesions with central clearing
Tinea corporis
ringworm
Spaghetti and meatballs appearance
Tinea versicolor
Culture on Sabouraud agar
Cryptococcus neoformans
Systemic mycosis more in Latin America
Paracoccidiomycosis
Rhinocerebral, frontal lobe asbscess
Mucormycosis (rhyzor, mucor)
Associated with hepatocellular carcinoma
Aflatoxin producing Aspergillus
Soil, pigeon droppings
Cryptococcus neoformans
Penetrate cribriform plate
Mucormycosis (rhyzor, mucor)
Diffuse, bilateral ground-glass appearance on CXR
Pneumocystis jirovecii
NOT diagnosed radiographically
Do Lung biopsy or lavage
Damage of melanocytes caused by what
(seen in tinea versicolor)
degradation of lipids –> produces acids
Allergic reaction associated with asthma and cystic fibrosis
Allergic bronchopulmonary aspergillosis (ABPA)
Dermatophyte genera
Microsporum
Trichophyton
Epidermophyton
Invasive aspergillosis seen in
immunocompromised
chronic granulomatous disease
Systemic mycosis seen in SW America and California
Coccidiomycosis
Rose gardener’s disease
Sporothrix schencki
Systemic fungus that does not form yeast
Coccidiomycosis
spherule
Soap bubble lesions in brain
Cryptococcus neofromans
Systemic mycosis in Missippi and Ohio River valleys
Histoplasmosis
Resolved TB infection, resides in lung cavities
Aspergillomas
May cause bronchiectasis and eosinophilia
Allergic bronchopumonary aspergillosis (ABPA)
Prophylaxis started when CD4+
Pneumocystis jirovecii
Cigar-shaped budding yeast
Sporothrix