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Superficial mycoses
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Fungal infection of the outermost layer of th skin and hair
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Otomycosis
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* Type of Otitis external
* Most commonly caused by Asperqillus, Perrillium, Mucor, and Rhizopus spp, less commonly by dermatophytes * Microscopic observ. of asexual spores in KOH prep |
Black Piedra
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*Fungal infection of scalp, hair and possibly eyebrows, eyelashes, and pubic hair, and characterized by hard, gritty, dark brown or black nodules of barious sizeand shape on hair shafts.
* Endemic in tropical areas of Africa, Asia, and S. America *Caused by the mould Piedraia hortae *Microscopic observ. of dark, thick-walled, septate hyphae w-numerous chamydoconidia |
White piedra
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Fungal inf. of mustache, beard, pubic and axilla hair, and characterized by soft, pigmented (white, tan, yellow, or green) nodules of various sizes on hair shafts
* Endemic in S. America, Far East, and the Pacific *Caused by Trichosporon Spp., primarily T. Beigelii. * Microscopic: hayaline hyphae, arthroconidia, and blastoconidia |
Tinea versicolor
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*Ringworm infecton usually of chest or back
* Characterized by irregular scaly patches that can be pigmented (brown, yellow, or red) and seen with a Wood's lamp that emits UV light. *Primary cause are moulds in the Malassezia furfur complex. *Microscopic: obal budding cells w-hyphae that gives a "spaghetti and meatball" appearance |
Tinea nigra
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* Ringworm infect. most oftern of the palms of the hands.
* Charac. by flat, sharply, marginated, brown-black, nonscaly macular lesions. *caused by the mould Hortae werneckii *Microscopic: Blastoconidia or budding cells that develop laterally from dark hyphae |
Clinical Specimens of superficial mycoses
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*Depends on inf. location: includes skin scrappings, hair clippings, ear canal debris, and exudatee.
*Skin cleaned w-alcohol, then scraped, or colleded w-scotch tape. |
Screening tests for superficial mycoses
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*Skin and hair: KOH prep or calcoflour white stain.
*Ear canal: Gram Stain *Scotch tape specimens placed sticky side down onto a drop of lactophenol cotton blue |
Media to be inoculated for superficial mycoses
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*Rarely cultured, but Sabouraud dextrose agar used if cultured
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Cutaneous, hair, and nail mycoses
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Fungal inf. of th living layers of the skin, hair shafts, and nails (commonly called tinea or ringworm inf.) are caused by a group of moulds called dermatophytes
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Dermatophytes
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Epidernophyton spp., Microsporum spp., and Trichophyton spp.
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Tinea barbae
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Beard and mustache
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Tinea capitis
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Scalp, eyebrows, and eyelashes
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Tinea corporis
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Face, trunk, arms, and legs
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Tinea favosa
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Scalp
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