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| opportunistic mycelial fungus |
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Definition
asperfillus scedosporium zugomycetes fusarium |
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histoplasma cocci paraococci blastomycoses |
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tend ot be soil organims, airborne true pathogens, causing disease in healthy hosts and more severe in immuno compromised restricted niches new infection and reactivation can occur with most (once you are infected for life)endemic mycoses |
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| endemic are never ____ contaminants |
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| diagnosis of endemic mycoses |
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culture, see in tissue, blood culture candida histo, crypto found in blood aspergillus, cocci, paracocci never inblood |
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Term
| histoplasmosus capsulatam |
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Definition
biphasic mold ing orund to yeast in body sabourad's agar itraconazole flucanazole amphtericin inside macrophage respiratory pass rather mild michigan to texas sotuh america |
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orimary acute infection airborne25 degree mold 37 yeast fungus ball histoplasmoma mass in mediastinum mediastinal fibrosis progressive disseminated histoplasmosis all this mostly in immunocompromised patients ocular? |
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| pathagnemonic for hispoplasma capsalatum |
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Definition
| Gomori methanimine stain macroconidia histoplasmosis |
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| think of one test histoplosmosis |
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Definition
| atibody test. classic diagnose test antigen inblood or urine |
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| excrement from bats cause hcapsulatum |
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mostly women shins redness cocci fungi raised nodules anterior shin showin in the context of histoplasmosis. |
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| where do histoplasma liek to go besides lungs? |
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if you have adrenal involvmentor gastric ulcer, ulcer in the gi tract that does not go away |
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Definition
histoplasma or gastric ulcer, ulcer in the gi tract that does not go away |
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| amphotericin b and itraconozole |
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central valley california some in central and south america some in venezuela more disease in sotuthwest |
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meningitis pneumonia septic arthritis skin lesions |
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koh organisms tight against each other |
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| collects a number of organisms together to live together |
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positve IGm and negative IGD use the IGd level |
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use the igd level to follow therapy we use antibody for cocci...we use antigens for histo |
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aphotericin b intirconasole fluconazole |
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think of common causes...doesn;t get better think cocci causes mass and nodule. |
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thought they would see a lot didn't happen |
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how do we determine which kind of pneumonia? bal bronchoscopy trans thoracic video thoracic lung biopsy |
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Definition
bronchoalveolar lavage trans bronchi tissue get trans thoracic biopsy |
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minnesota to florida pulmonary skin bne and joint cns especially genitourinary tract |
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| special staining of paracocci |
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cns pulomonary bone disseminated first cause of minigitis in aids patients |
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| best way to diagnose crypto |
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Definition
antigen (liek histo) buds liek blasto |
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| only antigens for histo and crypto!!! |
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Definition
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Term
| aspergillus (opportunistic) |
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Definition
mycelial ubiquitous mold cecomposing vegetable material no mary jane |
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| aspergillus can be allergy or |
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| liek histoplasma aspergillus can form |
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| conidia structure pathognemonic for |
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| invasive aspergillus in heart transplants |
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| most common yeast in immuno compromised patients |
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| doc assumed it was candida when it was actually crypto |
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| acinocandines won't work against crypto |
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| ___ ____ species of candida are ont he rise and may be insensitive to flucanozole |
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