Fungi

Question 1

Superficial/cutaneous mycoses:

Dermatophytosis:

• What does the dermatophyte fungi digest affecting the nail and skin?
• What does the nail and skin look like?
• What is the main symptom patients complain of?
• What does annular with central healing mean?

Look at fungal infections in derm

Answer 1

Keratin

Scaly

Itch - pruritis

The lesions appear as circular or ovoid macules or patches with an erythematous periphery and central clearing. - IT BASICALLY LOOKS LIKE RINGWORM

Question 2

Superficial/cutaneous mycoses:

Superficial candidiasis:

• Where does it occur? - 3
• Why can antibiotics cause candida infections?
• What skin manifestation do they get?
• Is it painful?
• What symptoms do they get?

Answer 2

Mouth
Vagina
Gi tract

Antibiotics can cause yeast infections in some people because they kill off beneficial bacteria that prevent the overgrowth of yeast in the vagina. But there are several things you can do to offset the negative effects of antibiotics and reduce your risk of developing a yeast infection.

White patches

Yes, it is sore

Question 3

Superficial/cutaneous mycoses:

How are fungal skin infections diagnosed apart from clinically (looking at it)?

Look at Rx in derm

Answer 3

Clinical

Microscopy of a skin scraping

Question 4

Systemic/invasive mycoses:

Invasive candidiasis:

• Where in the hospital does it usually happen?
• Who does it tend to occur in?
• How would you know someone with a fever doesn’t have a bacterial infection?
• They get new murmurs, muscle tenderness and skin nodules. How is it diagnosed?

Cryptococcus:
- What chronic infection is it seen in?

IV ANTIFUNGALS FOR RX

Answer 4

ITU settings

Immunosuppressed
Comorbidities

Nothing grows on culture
No improvement after ABs

Blood culture
PCR
——
HIV

• It is seen in those with immunosuppression