Fungi

Fungi are larger than bacteria
Have nuclei with multiple chromosomes and cytoplasm containing mitochondria and ribosomes
Can reproduce sexually by meiosis
Pathological by (1) infection - superficial, subcutaneous, systemic (2) toxin production (3) hypersensitivity reactions
Predisposition - Immunocompromise; premature, AIDS, indwelling lines

 

Classification

  • Yeasts
  • Filamentous fungi
  • Dimorphic fungi

 

Candida

  • Commonest human pathogen is candida albicans sp
  • Affects mucous membranes (vagina, cervix, oropharynx), skin, respiratory tract, urinary tract
  • Risk:
  1. Diabetes
  2. Immunocompromised
    1. Acquired: drugs (steroids, cytotoxics), AIDS, leukaemia
    2. Congenital
  • Diagnosis: (1) Microscopy (2) Culture (3) Antigen detection in urine, blood (4) Antibody detection (5) Increased arabinitol - a metabolite of candida in serum 

 

Pathogenic fungi

  • Cryptococcus neoformans
  • Malassezia furfur
  • Dematophytes
  • Toulosis glabrata
  • Aspergillus fumigatus
  • Microsporum audouinii
  • Pneumocystis carinii