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Superficial Mycoses:
1. Pityriasis Vesicolor

Hyperpigmented macules or patches

Stratum corneum

High recurrence rate

2. Piedra (Black)

Tropics and subtropics

Scalp hair

Rough and sandy

Firmly attached to hair

3. Piedra (White)

Temperate zones

Facial and genital hair

Softer, mucilaginous

Not adherent
4. Tinea Nigra

Hyperpigmentation of palms

Misdiagnosed as melanoma
5. Mycotic Keratitis

Fungal infections of the cornea

6. Cutaneous Mycoses

Tinea pedis

Tinea unguium (onchomycosis)

Tinea corporis, cruris, manus

Tinea capitis and barbae

Ectothrix (microconidia) around hair (T.

rubrum)

Endothrix within hair shaft (T.

mentagrophytes)

Favus inflammatory (T. schoenleinii)

Kerion inflammatory and hypersensitivity

(zoophilic sp.)

Trichophytid reaction
Subcutaneous Mycoses:
7. Sporotrichosis

Lymphocutaneous 1 lesion with lymphatic

involvement

Chronic: multiple SQ nodules

Fixed: waxes and wanes

Mexican men
8. Lobomycosis

painless lesions that become verrucous and

ulcerative
9. Rhinoentomopthoromycosis

rare

hard SQ nodes inside nasal mucosa

10. Mycetoma

granules: diagnostic markers

11. Chromomycosis

Slow development

Mycology

Malassezia furfur

spaghetti and meatball

short hyphae; round spores

Piedra hortai

With asci and ascospores (sexual

phase)

Trichosporon beigelii

Dimorphic characteristic

Exophiala werneckii

Yeast-like
Cladosporium werneckii
Histoplasma capsulatum
Fusarium solani

Fusiform shaped
Microsporum canis

Spindle shaped, thick walled,

multicelled macroconidia
Epidermophyton Flocossum

Numerous smooth, multiseptate, thinwalled macroconidia usually clubshaped

Trichophyton Mentagrophytes

Macroconidia < microconidia

(+) hair penetration test

Trichophyton Schoenleinii

Favic chandelier

Sporothrix Schenkii

cigar-shaped bodies

tapering ends, wide body

Loboa loboi

large yeast cells with multiple buds

Entomophthora coronata

numerous branching hyphae

Actinomycetes: (SAN)

Streptomyces, Actinomadura,
Nocardia

Fine, delicate
Eumycetes: (MAP)

Madurella, Allescheria, Phialophora

Large, course, septate

Fonsecae pedrosoi

Dematiaceous fungi

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Cauliflower like lesions (verrucous)

12. Phaeohypomycosis

With deep tissue invasion (brain abscess)

13. Rhinosporidiosis

Polyploidy mass in nasal area

Nasal polyp

Sporangia seen in gross

Systemic Mycoses:
14. Blastomycosis

Inhalation of arthroconidia

Spherules: inside lungs

DD: TB, squamous cell CA, verrucous CA

Men in constant contact with soil (Mississippi

River)

Worldwide
15. Paracoccidioidomycosis

Chronic granulomatous disease

With enlargement of cervical lymph nodes

DD: monocystic leukemia with chronic DIC; TB

16. Coccidioidomycosis

Primary pulmonary erythema nodosum and

erythema multiforme

Disseminated form spreads to brain

Whitis, warty, verrucous plaques, warty

hyperkeratotic
17. Histoplasmosis

DD: leprosy (phase III)

Inhalation of microconidia

With chronic cavitary phase DD: TB

Opportunistic Mycoses:
18. Candidiasis

19. Cryptococcosis

from pigeon droppins and soil contaminated

with avian droppings

pulmonary, CNS (meningitis), cutaneous

20. Aspergillosis

wheezing of allergic type

(-) sputum; (+) biopsy

21. Mucormycosis

Acidosis

22. Penicillosis Marneffei

Corticosteroid therapy, SLE, anemia, Hodgkins

lymphoma, AIDS

Hepatomegaly without jaundice

Monomorphic: (CAC)

Mycology

Septate hyphae
Exophiala, Wargiella, Cladosporium,
Phialophora
Rhnosporidium seeberi

Stimulate proliferation of epithelial

cells

Blastomyces dermatitidis

With microconidia

Thick walled, oval to round singlebudding yeast like cells

Paracoccidioides brasiliensis

Mariners wheel

large yeast cells with multiple buds

Coccidioides immitis

Spherules containing endospores (in

vivo)

Histoplasma capsulatum

Microconidia is infective form

Tuberculated macroconidia with

occasional small microconidia
Candidia albicans

Pseudohyphae and budding

Clamydospores

(+) germ tube/ serum test

Cryptococcus neoformans

only pathologic with capsule

capsule anti phagocytic

meningitis in AIDS patients

Cryptococcus gatti

non-immunocompromised patients
Aspergillous sp.

Dichotomous septate hyphae

Branching
Cunninghamella, Rhizopus, Rhizomucor,
Absidia, Mucor, Syncephalastrum (CRRAMS)
Mucor

Broad hyphae with uneven thickness

Irregular branching and sparse

septations
Penicillin marneffei

Brush-like appearance

Cryptococcus

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Aspergillus

Candida sp.
Dimorphic: (BCCHP)

Blastomycosis

Paracoccidioides

Coccidioides

Mycology

Histoplasma

Candida albicans
Angioinvasives:

Aspergillosis

mucormycosis