cryptococcus neoformans
2016-12-28 21:46:14 0 举报
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undone-cryptococcus
作者其他创作
大纲/内容
host defense
innate
phagocytosis
procedures
子主题
adaptive
virulence factors
others
laccase
sequester iron during infection
interfere with oxidative burst
nvolved in the production of melanin
melanin
capture free radicals
catalase
destroy H2O2
catalase test
capsule
components
rich in clucuronic acid and mannose, O-acetul groups
GXM
glucuronic acid, mannose and xylose
can elicit protective antibodies when coupled to proteins
GalXM
mannose galactose and xylose and glucoronic acids
mannoproteins
stimulate TLR2 and TLR9, increased phagocytosis
capsule components
inhibit production of proinflammatory cytokines
deplete complement components (binding)
reduce leukocyte migration to inflammation sites
diagnostic features
ELISA serum
india ink stain
hh:) capsule syn is induced when infected
acapsular mutants
capsule intergal physical
protect against phagocytosis and oxidative burst
prevent interaction of fungus surface protein with adaptive immune system
disease: cryptococcsis
at risk
tropism for CNS
immuocompromised
HIV/AIDS
transplants
chemotherapy/cancer
OR; cleared until imbalance
sources
bird droppings
eucalyptus trees
decaying wood
transmission
NON-COMMUNICABLE in humans
human-only natural host
desiccated cells and spores as infective particles
signs and symptoms
peumonia-like illness
chest pain
cough fever weight loss
meningoencephalitis
CNS
inflammation of brain and meninges
fever headache lethargy mental status
may permanent
cutaneous cryptococcosis
lab cahracterization
microscopic examination
blood and serespinal fluild
cryptococcal antigen test
capsule polysaccharide
fungal culture
differentiate species of C.
india ink
negative
capsule halo
treatment
antifungal>6 months
amphotericin B
binds to ergosterol
combined with flucytosine
target RNA/DNA syn
severe
fulconazole/itraconazole
targets ergosterol synthesis
mild/moderate
子主题
pathogen
basics
Phylum - Basidiomycota
spores formed in basidum
dimorphic life cycle
monokaryotic yeast
dikaryotic hyphal
sexual and asexual life cycle
life cycle
C.neoformans
polysaccharide capsule
the ONLY ENCAPSULATED human pathogen
reproduction
asex (bud)
sex
basidium
end of hyphae
spore producing
respiratory
reside in alveoli
cell wall contains melanin
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