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=Specific fungi= | =Specific fungi= | ||
==Histoplasmosis== | ==Histoplasmosis== | ||
*''Histoplasma capulatum'' | ===General=== | ||
*Organism: ''Histoplasma''. | |||
*Specific organism: ''Histoplasma capulatum''. | |||
*Typical location: [[lung]]. | |||
===Microscopic=== | |||
Features: | |||
* Often in yeast form in tissue 2-5 micrometres.<ref name=Ref_WMSP103>{{Ref WMSP|103}}</ref> | |||
** Nice bright red on PAS-D - [http://en.wikipedia.org/wiki/File:Histoplasma_pas-d.jpg histoplasmosis (wikipedia.org)]. | ** Nice bright red on PAS-D - [http://en.wikipedia.org/wiki/File:Histoplasma_pas-d.jpg histoplasmosis (wikipedia.org)]. | ||
*** Have a "central dot"<ref>URL: [http://moon.ouhsc.edu/kfung/jty1/opaq/PathQuiz/A6I001-PQ01-M.htm http://moon.ouhsc.edu/kfung/jty1/opaq/PathQuiz/A6I001-PQ01-M.htm]. Accessed on: 19 October 2010</ref> - [http://moon.ouhsc.edu/kfung/jty1/opaq/PathQuiz/PQ-Images/A6I001-3.gif histoplasma (ouhsc.edu)]. | *** Have a "central dot"<ref>URL: [http://moon.ouhsc.edu/kfung/jty1/opaq/PathQuiz/A6I001-PQ01-M.htm http://moon.ouhsc.edu/kfung/jty1/opaq/PathQuiz/A6I001-PQ01-M.htm]. Accessed on: 19 October 2010</ref> - [http://moon.ouhsc.edu/kfung/jty1/opaq/PathQuiz/PQ-Images/A6I001-3.gif histoplasma (ouhsc.edu)]. | ||
== | ==Coccidioidomycosis== | ||
*''Coccidioides immitis'' - | ===General=== | ||
*Organism: ''Coccidioides''. | |||
*Specific organism: ''Coccidioides immitis'' - | |||
**Usu. from soil. | |||
*Typical locations: lung, oral cavity.<ref name=Ref_WMSP3>{{Ref WMSP|3}}</ref> | |||
===Microscopic=== | |||
Features: | |||
* Forms spherules 60-80 micrometres in size.<ref name=Ref_WMSP103>{{Ref WMSP|103}}</ref> | |||
==Pneumocystis pneumonia | Image: | ||
*''Pneumocystis jirovecii'' (used to be called ''Pneumocystis carinii'') | *[http://commons.wikimedia.org/wiki/File:Mature_spherule_with_endospores_of_Coccidioides_immitis_PHIL_480_lores.jpg Coccidioides (WC)]. | ||
==Pneumocystis pneumonia== | |||
Abbreviated ''PCP''. | |||
===General=== | |||
*Organism: ''pneumocystis'', | |||
*Specific organism: ''Pneumocystis jirovecii'' (used to be called ''Pneumocystis carinii'') | |||
**Fungus... used to be considered a parasite. | |||
*Typical location: lung. | |||
*Clinical: Opportunistic infection. May have subtle finding on chest x-ray. | |||
===Microscopic=== | |||
Features: | |||
*"Dented ping-pong ball" appearance;<ref name=Ref_WMSP103>{{Ref WMSP|103}}</ref> - remember '''P'''C'''P''' = '''p'''ing-'''p'''ong. | |||
*Approximately 7-8 micrometres in size - [http://commons.wikimedia.org/wiki/File:Pneumocystosis_carinii_of_lung_in_AIDS_959_lores.jpg PCP (WP)]. [http://commons.wikimedia.org/w/index.php?title=Special%3ASearch&search=Pneumocystis+carinii&go=Go Several images are here (WC)]. | |||
==Cryptococcus== | ==Cryptococcus== | ||
* | ===General=== | ||
*Most common fungus seen in CSF specimens.<ref name=Ref_APBR682>{{Ref APBR|682}}</ref> | *Specific organism: ''C. neoformans''. | ||
*Opportunistic infection. | |||
*Typical location: lung. | |||
**Most common fungus seen in CSF specimens.<ref name=Ref_APBR682>{{Ref APBR|682}}</ref> | |||
===Microscopic=== | |||
Features: | |||
*Yeast: | *Yeast: | ||
**Round/ovoid 5-15 micrometres (may resemble Histoplasma or Candida -- but often larger). | **Round/ovoid 5-15 micrometres (may resemble Histoplasma or Candida -- but often larger). | ||
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==Cryptosporidiosis== | ==Cryptosporidiosis== | ||
===General=== | ===General=== | ||
*Caused by cryptosporidium. | *Caused by ''cryptosporidium''. | ||
*Fecal-oral transmission. | *Fecal-oral transmission. | ||
*Usu. in immunoincompetent individuals, e.g. [[HIV|HIV/AIDS]]. | *Usu. in immunoincompetent individuals, e.g. [[HIV|HIV/AIDS]]. | ||
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==Candidiasis== | ==Candidiasis== | ||
*Commonly ''Candida albicans'' | ===General=== | ||
*Commonly ''Candida albicans''. | |||
*Yeast forms. | |||
*Locations: oral cavity, vagina. | |||
===Microscopic=== | |||
Features: | |||
*''Dimorphic'' - seen in two forms: | *''Dimorphic'' - seen in two forms: | ||
**Pseudohyphae<ref name=Ref_WMSP3>{{Ref WMSP|3}}</ref> - collections of many ''C. albicans'' cells in a branching pattern. | **Pseudohyphae<ref name=Ref_WMSP3>{{Ref WMSP|3}}</ref> - collections of many ''C. albicans'' cells in a branching pattern. | ||
**Yeast form - single cells, 10 to 12 micrometres in diameter, gram positive.<ref>[http://pathmicro.med.sc.edu/mycology/mycology-3.htm http://pathmicro.med.sc.edu/mycology/mycology-3.htm]</ref> | **Yeast form - single cells, 10 to 12 micrometres in diameter, gram positive.<ref>[http://pathmicro.med.sc.edu/mycology/mycology-3.htm http://pathmicro.med.sc.edu/mycology/mycology-3.htm]</ref> | ||
*Images: | *Images: | ||
**[http://pathmicro.med.sc.edu/mycology/candi4.jpg Candida (pseudohyphae) - methenamine silver (med.sc.edu)]. | **[http://pathmicro.med.sc.edu/mycology/candi4.jpg Candida (pseudohyphae) - methenamine silver (med.sc.edu)]. | ||
**[http://commons.wikimedia.org/wiki/File:Candida_pap_1.jpg Candida on Pap test (WC)]. | **[http://commons.wikimedia.org/wiki/File:Candida_pap_1.jpg Candida on Pap test (WC)]. | ||
===Stains=== | |||
Features: | |||
*PAS +ve. | |||
*Methenamine silver +ve. | |||
==Blastomycosis== | ==Blastomycosis== | ||
===General=== | |||
*Usually ''Blastomyces dermatitidis'' - fungus. | *Usually ''Blastomyces dermatitidis'' - fungus. | ||
*May be in the oral cavity.<ref name=Ref_WMSP3>{{Ref WMSP|3}}</ref> | *May be in the oral cavity.<ref name=Ref_WMSP3>{{Ref WMSP|3}}</ref> | ||
* | |||
===Microscopic=== | |||
Features: | |||
*'''B'''road-based budding yeast -- is '''B'''lastomyces.<ref name=pmid12375640>PMID 12375640</ref> | |||
**The interface between two separating fungi, i.e. fungi in the process of reproducing, is very large. | **The interface between two separating fungi, i.e. fungi in the process of reproducing, is very large. | ||
Images: | |||
*[http://commons.wikimedia.org/wiki/File:Blastomycosis_cropped.JPG Blastomycosis (wikimedia.org)]. | |||
*[http://www.pathguy.com/lectures/blastomycosis.jpg Blastomycosis - budding (pathguy.com)]. | |||
*[http://www.lahey.org/Medical/InfectiousDiseases/ID_Blastomycosis.asp Blastomycosis - with broad budding (lahey.org)]. | |||
==Mucormycosis== | ==Mucormycosis== | ||
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*Causative organism: Mucorales. | *Causative organism: Mucorales. | ||
**Kingdom: Fungi. | **Kingdom: Fungi. | ||
**AKA ''Zygomycota'' (zygomycosis). | **[[AKA]] ''Zygomycota'' (zygomycosis). | ||
*Assoc. with diabetes, immunodeficiency. | *Assoc. with [[diabetes]], immunodeficiency. | ||
===Microscopic=== | ===Microscopic=== |
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