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MYCOLOGY I
 PRAVEG GUPTA
INTRODUCTION
• Eukaryotes
• Don’t possess chlorophyll
• Unicellular/multicellular
• Mostly soil saprophytes
• Role in degradation of organic compounds
• About 250000 fungal species are identified.
• Out of them only about 150-200 are known to cause
  human infections.
• Fungi cause infections in debilitated patients, eg.
  Immunocompromised patients like AIDS patients.
• Useful fungi: edible mushrooms, yeasts used in
  fermentation, fungi producing antibiotics (eg penicillium).
STRUCTURE

• Fungal cells are eukaryotic cells containing cell wall, cell
  membrane, true nuclei, nuclear
  membrane, mitochondria, vaculoes, reticular
  endothelium, ribosomes etc like other eukaryotic cells.

• Cell division – sexual/asexual

• Cell wall – made up of chitin, glucans, mannans and
  complex polysaccharides.

• Cell membrane contains ergosterol in contrast to
  mammalian cells which contain cholesterol.
FUNGAL CELL STRUCTURE
Fungal cell wall
• Consists of chitin not peptidoglycan like
  bacteria.
• Thus fungi are insensitive to antibiotics as
  penicillins.
• Chitin is a polysaccharide composed of
  long chain of n-acetyleglucasamine.
• Also the fungal cell wall contain other
  polysaccharide, B-glucan, which is the site
  of action of some antifungal drugs.
Fungal cell membrane
• Consist of ergosterol rather than cholesterol like
  bacterial cell membrane.
• Ergosterol is the site of action of antifungal
  drugs, amphtericin B & azole group
Atmospheric & carbon source
         requirements
• Most fungi are obligatory aerobes, some
  are facultative anaerobes, but none are
  obligatory anaerobes.
• All fungi require a performed organic
  source of carbon –association with
  decaying matter.
• Natural habitat
• The environment.
Opportunistic Fungi
In addition to those species which are
generally recognized as pathogenic to
man it is firmly established that under
unusual circumstances of abnormal
susceptibility of patient, or the
traumatic implantation of the
fungus, other fungi are capable of
causing lesions. Those are called
(Opportunistic Fungi.)
These circumstances may be :

1. A debilitating condition of the host, as
  Diabetes.
2. A concurrent disease such as leukaemia.
3. Prolonged treatment with corticosteroids.
4.Immunosuppressive drugs or an antibiotic
  for long duration.
CLASSIFICATION
Taxonomical classification:
• Phylum          class
• Zygomycota      zygomycetes
• Ascomycota      ascomycetes
• Basidiomycota   basidiomycetes
• Deuteromycota deuteromycetes (fungi
  imperfecti)
2. Zygomycota
•   Zygote – fertilized egg
•   Decomposers
•   Rhizopus sp. – bread mold
•   Mold… any fungi in its asexual stage
Bread Mold – a
Zygomycete Fungi
Zygomycota – common
                                molds




The fungal mass of
hyphae, known as the
MYCELIUM
penetrates the bread
and produces the
fruiting bodies on top
of the stalks

              Mycelia = a mass of hyphae or
              filaments
3. Ascomycota
• Cup shaped reproductive structures
• Yeast – unicellular exception




Morel Fruiting Bodies
Cup Fungi – Ascomycete Fungi




   Note the cup shapes and
     orange peel colour
4. Basidiomycota – club
            fungi

• Club-shaped reproductive structure
• Many common examples –
  mushrooms, puffballs, shelf fungi
Mushrooms
EDIBLE MUSHROOMS
Basidiomycete Reproduction
5. Deuteromycota - (Imperfect
                  Fungi)
-Regarded as imperfect because no sexual stage has been observed
in their life cycle

-Members are not closely related and are not necessarily similar
in structure or appearance; do not share a common ancestry
    Morphological classification:
1.   Yeasts
2.   Yeast like fungi
3.   Moulds/ filamentous fungi/ mycelial fungi
4.   Dimorphic fungi

 Description:
 Yeasts are round to oval unicellular fungi which
  reproduce by budding or binary fission eg cryptococcus.
 Yeasts like fungi – some yeasts grow partly as yeasts
  and partly as chains of elongated budding cells joined
  end to end forming pseudohyphae and
  pseudomycelium eg candida.
 Filamentous fungi/moulds:
• They grow as multicellular branching filaments.
• Hypha = each filament is called hypha.
• Mycelia = tangled masses of hyphae are known as
  mycelia.
• Thallus = body of fungus.
• Septa = transverse walls dividing hyphae at irregular
  intervals.
• The septate hyphae are morphologically coenocytic
  because septae have holes through which free flow of
  nuclei and other cytoplasmic material can occur.
• Aerial mycelium = the part of mycelium projecting
  above the culture medium.
• Vegetative mycelium = the part of mycelium growing in
  the culture medium.
MYCELIA
• There is abundant formation of spores on aerial
  mycelium that affects their airborne transmission.
• Eg
  dermatophytes, aspergillus, zygomycetes, penicillium.

 Dimorphic fungi:
• They exist as both yeast form and filamentous form
  depending on conditions of growth.
• Yeast form (parasitic phase) occurs in host tissues and
  in cultures at 37 C.
• Filamentous form (saprophytic phase) occurs in soil and
  in cultures at 22-25 C.
• Eg fungi responsible for systemic mycoses like
  histoplasma, blastomyces, coccidiodes, paracoccidiodes
  .
Fungal structures
mycelium: septate   mycelium: non septate
Yeasts
1. These occur in the form of round or oval
   bodies which reproduce by the formation of
   buds known as blastospores.

2. Yeasts colonies resemble bacterial
   colonies in appearance and in consistency.
3. The only pathogenic yeast in medical
   mycology is Cryptococcus neoformans.
Yeast colonies
Cryptococcus neoformans
Yeast-Like
1.These are fungi which occur in the form of
  budding yeast-like cells and as chains of
  elongated unbranched filamentous cells
  which present the appearance of broad
  septate hyphae. these hyphae intertwine
  to form a pseudomycelium.

2. The yeast like fungi are grouped together
  in the genus Candida.
Candida Colonies
Pseudohyphae and pseudomycelium
Candida albicans
•   A germ tube is an outgrowth produced by spores of spore-releasing fungi during
    germination.
•   The germ tube differentiates, grows, and develops by mitosis to create somatic
    hyphae.
•   A germ tube test is a diagnostic test in which a sample of fungal spores are
    suspended in serum and examined by microscopy for the detection of any germ
    tubes. It is particularly indicated for colonies of white or cream color on fungal
    culture, where a positive germ tube test is strongly indicative of Candida albicans.
Filamentous fungi/moulds
Thermally Dimorphic
       Fungi
These are fungi which exhibit a
filamentous mycelial morphology
(saprophytic phase) when grown at
room temperature 27oC, but have a
typical yeast morphology (parasitic
phase) inside the body and when
grown at 37oC in the laboratory (e.g.
Histoplasmosis).
Histoplasma capsulatum 27oC
Histoplasma capsulatum 37oc
REPRODUCTION

• Reproduction in fungi can be of two types:
• Asexual
• Sexual

 Asexual spores:
• Sporangiospores = spores formed in sporangium by
  formation of cleavage planes. Seen in zygomycetes eg
  rhizopus, mucor.
• Conidiospores = borne externally on sides eg
  aspergillus, penicillium, dermatophytes.
• Microconidia = small single spores.
• Macroconidia = large single or multicellular spores.
Sporangiospore, conidiospore, blastospore and
        chlamydospore, arthrospore
•   Sexual spores: four types have been identified
•   Oospores
•   Zygospores
•   Ascospores
•   Basidiospores

• Other vegetative spores:
• Blastospores – a fungal spore that arises by budding.
• Arthrospores - one of a number of spores of various fungi and
  certain blue-green algae, united in the form of a string of
  beads, formed by fission.
• Chlamydospores - a thick-walled intercalary or terminal asexual
  fungal spore formed by the rounding-up of a cell; it is not shed.
  Formed by differentiation of hyphae; seen in Candida and
  Histoplasma spp.
• Phialospores - A type of conidium found, for example, in many of the
  Eurotiales and Hypocreales. Phialospores develop at the tips of
  specialized finger-like cells termed phialides.
FUNGI IMPERFECTI
              (DEUTEROMYCETES)

• All those fungi whose sexual or perfect state is not
  known.

• They form septate hyphae and asexual spores or no
  spores.

• Most fungi causing human infections belong to this
  group.
INFECTION
 Fungal infections are of 4 types based on target tissue:
• Superficial mycoses = surface infections limited to
  outermost layers of skin and hair.
• Cutaneous mycoses = fungal infections extending
  deeper into the epidermis and its integuments.
• Subcutaneous mycoses = infections involving
  dermis, subcutaneous tissue, muscles and fascia.
• Systemic mycoses = infections originating primarily in
  the lungs ( acquired by inhalation) and spreading to
  other organs.

• Opportunistic mycoses = besides the above four
  mentioned types, this category includes infections in
  which fungi of no significance or low virulence infect
  humans with compromised immune system.
LABORATORY DIAGNOSIS (main points)
 Specimens:
• Skin scrapings, nail clippings, hairs
• Scrapings from mucous membrane
• Scrapings, crusts, aspirated pus, tissue biopsy.
• Blood, CSF etc in systemic mycoses.

 Microscopy:
• KOH mount – KOH dissolves keratin and cellular
  material but does not affect fungi. Specimen is placed
  on a slide, a drop of 10-20% KOH is added and covered
  with a coverslip, left for 20 min in incubator at 37°C to
  digest keratin. Then examined microscopically.
KOH preparation
LACTOPHENOL COTTON BLUE

• The lactophenol cotton blue (LPCB) wet mount
  preparation is the most widely used method of staining
  and observing fungi and is simple to prepare. The
  preparation has three components: phenol, which will kill
  any live organisms; lactic acid which preserves fungal
  structures, and cotton blue which stains the chitin in the
  fungal cell walls.
• Stains: gram stain, papanicoulau stain, periodic acid
  schiff stain (PAS), methenamine sliver stain, giemsa
  stain etc.

• Direct immunofluorescence test

• Histology

• Antigen detection tests eg cryptococcal antigen in CSF.
 Culture:
• Sabouraud’s dextrose agar is commonly used for fungal
  culture.
• pH =5.6 does not allow bacterial growth.

• Drugs like chloramphenicol, cyclohexamide and other
  antibiotics are added to prevent bacterial or saprophytic
  fungal infection.

•   Cultures are incubated at two temperatures:
•   One tube at 25°C (room temperature)
•   One tube at 37°C (incubator).
•   This helps reveal fungal dimorphism.
• Cultures are incubated for atleast 2-3
  weeks and in some cases upto 6 weeks.
• Cultures are examined macroscopically for
  colony morphology, and microscopically
  for fungal morphology.
• Czapek-Dox agar
• Cornmeal agar
THANK YOU

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Fungus Part I

  • 2. INTRODUCTION • Eukaryotes • Don’t possess chlorophyll • Unicellular/multicellular • Mostly soil saprophytes • Role in degradation of organic compounds • About 250000 fungal species are identified. • Out of them only about 150-200 are known to cause human infections. • Fungi cause infections in debilitated patients, eg. Immunocompromised patients like AIDS patients. • Useful fungi: edible mushrooms, yeasts used in fermentation, fungi producing antibiotics (eg penicillium).
  • 3. STRUCTURE • Fungal cells are eukaryotic cells containing cell wall, cell membrane, true nuclei, nuclear membrane, mitochondria, vaculoes, reticular endothelium, ribosomes etc like other eukaryotic cells. • Cell division – sexual/asexual • Cell wall – made up of chitin, glucans, mannans and complex polysaccharides. • Cell membrane contains ergosterol in contrast to mammalian cells which contain cholesterol.
  • 5. Fungal cell wall • Consists of chitin not peptidoglycan like bacteria. • Thus fungi are insensitive to antibiotics as penicillins. • Chitin is a polysaccharide composed of long chain of n-acetyleglucasamine. • Also the fungal cell wall contain other polysaccharide, B-glucan, which is the site of action of some antifungal drugs.
  • 6.
  • 7. Fungal cell membrane • Consist of ergosterol rather than cholesterol like bacterial cell membrane. • Ergosterol is the site of action of antifungal drugs, amphtericin B & azole group
  • 8. Atmospheric & carbon source requirements • Most fungi are obligatory aerobes, some are facultative anaerobes, but none are obligatory anaerobes. • All fungi require a performed organic source of carbon –association with decaying matter. • Natural habitat • The environment.
  • 9. Opportunistic Fungi In addition to those species which are generally recognized as pathogenic to man it is firmly established that under unusual circumstances of abnormal susceptibility of patient, or the traumatic implantation of the fungus, other fungi are capable of causing lesions. Those are called (Opportunistic Fungi.)
  • 10. These circumstances may be : 1. A debilitating condition of the host, as Diabetes. 2. A concurrent disease such as leukaemia. 3. Prolonged treatment with corticosteroids. 4.Immunosuppressive drugs or an antibiotic for long duration.
  • 11. CLASSIFICATION Taxonomical classification: • Phylum class • Zygomycota zygomycetes • Ascomycota ascomycetes • Basidiomycota basidiomycetes • Deuteromycota deuteromycetes (fungi imperfecti)
  • 12. 2. Zygomycota • Zygote – fertilized egg • Decomposers • Rhizopus sp. – bread mold • Mold… any fungi in its asexual stage
  • 13. Bread Mold – a Zygomycete Fungi
  • 14. Zygomycota – common molds The fungal mass of hyphae, known as the MYCELIUM penetrates the bread and produces the fruiting bodies on top of the stalks Mycelia = a mass of hyphae or filaments
  • 15. 3. Ascomycota • Cup shaped reproductive structures • Yeast – unicellular exception Morel Fruiting Bodies
  • 16. Cup Fungi – Ascomycete Fungi Note the cup shapes and orange peel colour
  • 17. 4. Basidiomycota – club fungi • Club-shaped reproductive structure • Many common examples – mushrooms, puffballs, shelf fungi
  • 21. 5. Deuteromycota - (Imperfect Fungi) -Regarded as imperfect because no sexual stage has been observed in their life cycle -Members are not closely related and are not necessarily similar in structure or appearance; do not share a common ancestry
  • 22. Morphological classification: 1. Yeasts 2. Yeast like fungi 3. Moulds/ filamentous fungi/ mycelial fungi 4. Dimorphic fungi  Description:  Yeasts are round to oval unicellular fungi which reproduce by budding or binary fission eg cryptococcus.  Yeasts like fungi – some yeasts grow partly as yeasts and partly as chains of elongated budding cells joined end to end forming pseudohyphae and pseudomycelium eg candida.
  • 23.  Filamentous fungi/moulds: • They grow as multicellular branching filaments. • Hypha = each filament is called hypha. • Mycelia = tangled masses of hyphae are known as mycelia. • Thallus = body of fungus. • Septa = transverse walls dividing hyphae at irregular intervals. • The septate hyphae are morphologically coenocytic because septae have holes through which free flow of nuclei and other cytoplasmic material can occur. • Aerial mycelium = the part of mycelium projecting above the culture medium. • Vegetative mycelium = the part of mycelium growing in the culture medium.
  • 25. • There is abundant formation of spores on aerial mycelium that affects their airborne transmission. • Eg dermatophytes, aspergillus, zygomycetes, penicillium.  Dimorphic fungi: • They exist as both yeast form and filamentous form depending on conditions of growth. • Yeast form (parasitic phase) occurs in host tissues and in cultures at 37 C. • Filamentous form (saprophytic phase) occurs in soil and in cultures at 22-25 C. • Eg fungi responsible for systemic mycoses like histoplasma, blastomyces, coccidiodes, paracoccidiodes .
  • 27. mycelium: septate mycelium: non septate
  • 28. Yeasts 1. These occur in the form of round or oval bodies which reproduce by the formation of buds known as blastospores. 2. Yeasts colonies resemble bacterial colonies in appearance and in consistency. 3. The only pathogenic yeast in medical mycology is Cryptococcus neoformans.
  • 31. Yeast-Like 1.These are fungi which occur in the form of budding yeast-like cells and as chains of elongated unbranched filamentous cells which present the appearance of broad septate hyphae. these hyphae intertwine to form a pseudomycelium. 2. The yeast like fungi are grouped together in the genus Candida.
  • 34. Candida albicans • A germ tube is an outgrowth produced by spores of spore-releasing fungi during germination. • The germ tube differentiates, grows, and develops by mitosis to create somatic hyphae. • A germ tube test is a diagnostic test in which a sample of fungal spores are suspended in serum and examined by microscopy for the detection of any germ tubes. It is particularly indicated for colonies of white or cream color on fungal culture, where a positive germ tube test is strongly indicative of Candida albicans.
  • 36. Thermally Dimorphic Fungi These are fungi which exhibit a filamentous mycelial morphology (saprophytic phase) when grown at room temperature 27oC, but have a typical yeast morphology (parasitic phase) inside the body and when grown at 37oC in the laboratory (e.g. Histoplasmosis).
  • 39. REPRODUCTION • Reproduction in fungi can be of two types: • Asexual • Sexual  Asexual spores: • Sporangiospores = spores formed in sporangium by formation of cleavage planes. Seen in zygomycetes eg rhizopus, mucor. • Conidiospores = borne externally on sides eg aspergillus, penicillium, dermatophytes. • Microconidia = small single spores. • Macroconidia = large single or multicellular spores.
  • 40. Sporangiospore, conidiospore, blastospore and chlamydospore, arthrospore
  • 41. Sexual spores: four types have been identified • Oospores • Zygospores • Ascospores • Basidiospores • Other vegetative spores: • Blastospores – a fungal spore that arises by budding. • Arthrospores - one of a number of spores of various fungi and certain blue-green algae, united in the form of a string of beads, formed by fission. • Chlamydospores - a thick-walled intercalary or terminal asexual fungal spore formed by the rounding-up of a cell; it is not shed. Formed by differentiation of hyphae; seen in Candida and Histoplasma spp. • Phialospores - A type of conidium found, for example, in many of the Eurotiales and Hypocreales. Phialospores develop at the tips of specialized finger-like cells termed phialides.
  • 42. FUNGI IMPERFECTI (DEUTEROMYCETES) • All those fungi whose sexual or perfect state is not known. • They form septate hyphae and asexual spores or no spores. • Most fungi causing human infections belong to this group.
  • 43. INFECTION  Fungal infections are of 4 types based on target tissue: • Superficial mycoses = surface infections limited to outermost layers of skin and hair. • Cutaneous mycoses = fungal infections extending deeper into the epidermis and its integuments. • Subcutaneous mycoses = infections involving dermis, subcutaneous tissue, muscles and fascia. • Systemic mycoses = infections originating primarily in the lungs ( acquired by inhalation) and spreading to other organs. • Opportunistic mycoses = besides the above four mentioned types, this category includes infections in which fungi of no significance or low virulence infect humans with compromised immune system.
  • 44. LABORATORY DIAGNOSIS (main points)  Specimens: • Skin scrapings, nail clippings, hairs • Scrapings from mucous membrane • Scrapings, crusts, aspirated pus, tissue biopsy. • Blood, CSF etc in systemic mycoses.  Microscopy: • KOH mount – KOH dissolves keratin and cellular material but does not affect fungi. Specimen is placed on a slide, a drop of 10-20% KOH is added and covered with a coverslip, left for 20 min in incubator at 37°C to digest keratin. Then examined microscopically.
  • 46. LACTOPHENOL COTTON BLUE • The lactophenol cotton blue (LPCB) wet mount preparation is the most widely used method of staining and observing fungi and is simple to prepare. The preparation has three components: phenol, which will kill any live organisms; lactic acid which preserves fungal structures, and cotton blue which stains the chitin in the fungal cell walls.
  • 47. • Stains: gram stain, papanicoulau stain, periodic acid schiff stain (PAS), methenamine sliver stain, giemsa stain etc. • Direct immunofluorescence test • Histology • Antigen detection tests eg cryptococcal antigen in CSF.
  • 48.  Culture: • Sabouraud’s dextrose agar is commonly used for fungal culture. • pH =5.6 does not allow bacterial growth. • Drugs like chloramphenicol, cyclohexamide and other antibiotics are added to prevent bacterial or saprophytic fungal infection. • Cultures are incubated at two temperatures: • One tube at 25°C (room temperature) • One tube at 37°C (incubator). • This helps reveal fungal dimorphism.
  • 49. • Cultures are incubated for atleast 2-3 weeks and in some cases upto 6 weeks. • Cultures are examined macroscopically for colony morphology, and microscopically for fungal morphology. • Czapek-Dox agar • Cornmeal agar
  • 50.
  • 51.