4. SUPERFICIAL CAUSITIVE CLINICAL DIAGNOSIS TREATMENT
MYCOSES ORGANISMS SYNDROME
(TYPE)
2. TINEA NIGRA Hortaea werneckii/ Irregular Microscopic Whitfield’s
exophiala werneckii examination ointment,
pigmented
Superficial macules of skin miconazole
Black fungus
scraping nitrate in a cream
Phaeophypho Cladosporium No scaling
culture base
mycosis (or) invasion of Imidazole &
(branched, septate
hyphae, arthroconidia hair follicles triazole
& elongate budding Non Sulfur
cells) contagious ointments
Tincture of
iodine
terbinafine
5. SUPERFICIAL CAUSITIVE CLINICAL DIAGNOSIS TREATMENT
MYCOSES ORGANISMS SYNDROME
(TYPE)
3. WHITE Trichosporon: Hairs of the Culture in Topical azoles
PIEDRA T. inkin, T.asahii, groin & axillae mycological Improve
T.beigelii, White to media hygiene
Shaving of
T.mucoides brown welling without
cycloheximide.
infected hairs
along the air
Dolipore septum strand.
hyphae
Or budding yeast
like cells
6. SUPERFICIAL CAUSITIVE CLINICAL DIAGNOSIS TREATMENT
MYCOSES ORGANISMS SYNDROME
(TYPE)
4. BLACK ASCOMYCETES – Small, dark Branch Hair cut
PIEDRA Piedraia hortae or nodules – pigmented Proper and
hortai surround the hyphae regular washing.
hair shafts Culture
scalp Begin as
yeast like
colony then
hyphae
13. SUBCUTANEOUS CAUSITIVE CLINICAL DIAGNOSIS TREATMENT
MYCOSES ORGANISMS SYNDROME
4. a)Conidiobolus Chronic Require Itraconazole
SUBCUTANEOUS coronatus a)Rhinofacial biopsy for Oral
ZYGOMYCOSIS b)Basidiobolus area - swelling diagnosis potassium
(Entomophthoromyc ranarum of the upperlips Can culture iodide
osis)
Facial area in & face - alternatively
adults painless Facial
Proximal limbs in b)Disk, reconstruction
children shaped, surgery in case
respectively rubbary of C.coronatus
movable
Mucoraceaous masses –
Zygomycetes, shoulders,
sparse hyphae, pelvis, lips &
fragmented, thighs.
septae
14. SUBCUTANEOUS CAUSITIVE CLINICAL DIAGNOSIS TREATMENT
MYCOSES ORGANISMS SYNDROME
5. Numerous & Solitary Culture Itraconazole,
SUBCUTANEOUS diverse inflammatory Identification with or
PHAEOHYPHOMY Black molds in cyst. of pattern of without
COSIS culture Feet & legs sporulation flucytosine
(Superficial,
Yeast like in tissue. although other Posaconazole
subcutaneous or
deeply invasive Branced septate – body sites Voriconazole
or disseminated) budding yeast like Lessions Terbinafine
grows slowly
Exophiala jeanselmei, and expand
Alternaria, Firm &
Curvularia, painless
Phaeoacremonium,
Bipolaris spp.
15. SYSTEMIC MYCOSES DUE TO
DIMORPHIC FUNGI
• 1. Blastomycosis
• 2. Histoplasmosis
• 3. Coccidiodomycoses
• 4. Paracoccidiodomycosis
(Blastomyces dermatitidis, Coccidioides immitis &
C.posadasii, Histoplasma capsulatum var.
capsulatum & H. Capsulatum var duboisii,
Paracoccidioides brasiliensis & Penicillium
marneffei).
Restricted geographically to specific area.
16. SYSTEMIC MYCOSES CAUSITIVE CLINICAL DIAGNOSIS TREATMENT
ORGANISMS SYNDROME
1. BLASTOMYCES BLASTOMYCOSIS Present as Suptum,pus Itraconazole
DERMATITIDIS Molds in culture - pulmonary , exudates, Ketoconazole
Branced septate disease (or) Urine & Serious cases
Yeast like in tissue. extra biopsis from amphotericin
– single budding pulmonary lessions. B.
yeast like disseminated Microscopic
disease examination
Older culture may Asymptomati Culture
produce c /present as a Seriologic
chlamydospores mild flu like test
illness.
17. SYSTEMIC MYCOSES CAUSITIVE CLINICAL DIAGNOSIS TREATMENT
ORGANISMS SYNDROME
2.COCCIDIOIDOMY Coccidioides Asymptomati Suptum, Itraconazole
COSIS immitis & c pulmonary exudates Serious cases
C.posadasii disease from amphotericin
Molds hyphae – Vally cutaneous B.
arthroconidia – fever/SanJoaqu lession, spinal Azoles,
endosporulating in vally fluid, blood, fluconazole
spherule in tissue. fever/desert Urine &
rheumatism Tissue
biopsis.
Microscopic
examination
Culture
Seriologic
test
18. SYSTEMIC MYCOSES CAUSITIVE CLINICAL DIAGNOSIS TREATMENT
ORGANISMS SYNDROME
3.HISTOPLASMOSIS Histocapsulatum Conidia Suptum, Itraconazole
var Capsulatum, H. develops into scrapings In
capsulatum var yeast cells – from disseminated
duboisii engulfed by superficial disease,
Molds in culture - alvelor lesions, bone treatment with
hyaline septate - macrophages marrow, amphotericin
conidiophore Initial aspirates & B.
Yeast like in tissue. inflammatory buffy coat
– intracelluar reaction blood cells,
budding yeast like because blood films &
granulomatous biopsis from
Mediastinal lessions.
fibrosis Microscopic
examination
Culture
Seriologic
test
19. SYSTEMIC MYCOSES CAUSITIVE CLINICAL DIAGNOSIS TREATMENT
ORGANISMS SYNDROME
4.PARACOCCIDIOID Paracoccidioides Present as Suptum, Itraconazole
OMYCOSIS brasiliensis pulmonary exudates & Ketoconazole
Molds in culture - disease (or) biopsis from &
Branced septate extra lessions. Trimethoprim-
Yeast like in tissue. pulmonary Microscopic sulfamethoxaz
– multiply budding disseminated examination ole
yeast like disease. Culture Serious cases
Seriologic amphotericin
Older culture may test B.
produce
chlamydospores
and conidia