MYCOSIS
Dr. Manoj Kumar
Prof & HOD
Dept. of Microbiology
RIMS, Ranchi, Jharkhand, 834009
Mob- 9431204079
[Link]- manoj_drmicro@[Link]
Cadidiasis(Moniliasis)
- Caused by Candida sp.
- Commonest fungal infection in humans(Superficial, deep &
Opportunistic Mycosis)
- More than 100 species identified ( Important Sp. are –
[Link], [Link],[Link], [Link], [Link], etc)
- Predisposing factors –
• Naturally susceptible age group( Infancy, Pregnancy, Old
age)
• Broad spectrum Antibiotic use
• Moisture & Trauma
• Immunodeficiency( Innate or Acquired)
• Diabetes mellitus
• Deficiency of Zinc, Iron or PEM
Types of Infection
1) Mucocutaneous-
. Oral Thrush . Gastrointestinal Candidiasis . Occular
. Vaginal Thrush . Balanitis . [Link] Candidiasis
2) Cutaneous - .Skin- Intertrigo(Skin fold), Diaper dermatitis
.Nail – Chr. Paronychia(nail fold-distal portion), Onychomycosis
3) Systemic- UTI, Endocarditis, RTI, Meningitis, Septicemia,
Bone& Joint infection, Endophthalmitis, etc
4) Allergic – Urticaria, Eczema, Asthma
• Yeast like fungus
• Pseudohyphae Present
• Able to grow on simple bacteriological & SDA culture media
forming whitish creamy colony within 24 hrs
• Candida albicans forming clamydospore(on corn meal agar) &
germ tube test(Reynold-Braude phenomenon) with human
serum at 37 degree celcius within 2 to 4 hrs
Lab Diagnosis-
1) Sample collection
2) Microscopy- Gram stain, LCB, Calcoflour white stain, Histopath
3) Culture- Simple , SDA, Corn meal agar, Chrome Agar
4) Serological
5) Molecular
Treatment& Management-
. Avoid Predisposing factors
.Cutaneous - 1% Gentian violet, Nystatin, Clotrimazole,
ketoconazole
. Systemic – Amphorecin B, Ketoconazole, Itraconazole,
Fluconazole
Cryptococcus neoformans
• Yeast
• Capsulated fungus( polysacharide)
• Five Serotypes( A, B, C, D, AD) based on polysaccharide
antigen
• Able to grow over – Simple culture media, SDA, Birdseed agar
• Biochemical test- Urease positive, Assimilation of Nitrate &
Assimilation of inositol
• Ubiquitous, Saprophytic & Present in pigeon dropping
• Clinical features- Mengitis, Pulmonary & Cutaneous
• Lab Diagnosis –
. Sample collection
. Microscopy- Gram stain, Negative Staining, Calcofluor white,
LCB
. Biochemical Test
. Serological test
. Molecular Test
• Treatment – Amphotericin B
Mycotoxicosis & Mycetism
Mycotoxin Fungus Source
Aflatoxin Aspergillus flavus Nuts & Maize
Ergotoxin
Fumonisins Fusarium sp. Maize
Cyclopiazonic acid Aspergillus flavus Ground nut, Maize
Penicillium cyclopium
Claviceps sp Ergot Poisoning
Inocybe sp. Muscarine Poisoning
THANK YOU