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Mycology – Yeast

Mycology – Yeast. Student Lab Division of Medical Technology Carol Larson MSEd, MT(ASCP). Basic Characteristics. Unicellular Generally normal flora. Basic Characteristics. Asexual reproduction Blastoconidia Pseudohyphae Arthroconidia. Direct Examination.

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Mycology – Yeast

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  1. Mycology –Yeast Student Lab Division of Medical Technology Carol Larson MSEd, MT(ASCP)

  2. Basic Characteristics • Unicellular • Generally normal flora

  3. Basic Characteristics • Asexual reproduction • Blastoconidia • Pseudohyphae • Arthroconidia

  4. Direct Examination • Observe for reproductive structures • Gram stain • Gram positive • India ink stain • Capsules

  5. Growth Requirements • Growth in 2-3 days • Temperature • 25-37ºC • Best at 30ºC

  6. Colony Morphology • Appearance • Similar to bacteria colony • Texture • Glabrous • May be filamentous • Pigmentation • Confuse with Staphylococcus

  7. Yeast ID Methods • Germ Tube Production • First test performed when yeast • Procedure • Interpretation

  8. Yeast ID Methods • Cornmeal-Tween 80 agar • Procedure • Observe microscopically for • Chlamydospores • Blastoconidia • Pseudohyphae • Arthrospores

  9. Yeast ID Methods • Niger Seed Agar (Birdseed agar) • Procedure • Observe for brown pigment caused by phenol oxidase activity • Cryptococcus neoformans

  10. Yeast ID Methods • Urease • Procedure • Positive: • Cryptococcus sp. (rapid) • Trichosporon sp. • Rhodotorula sp. • Negative: • Candida sp. • Geotrichum sp.

  11. Yeast ID Methods • Carbohydrate assimilation • Utilize carbohydrate as sole source of carbon in the presence of oxygen • Positive = growth • Carbohydrate fermentation • Utilize a carbohydrate anaerobically • Positive = gas

  12. Yeast ID Methods • Commercial identification kits • Manual methods • Automated methods

  13. Candida species • Normal flora • Leading opportunistic fungal infection in man • Candidiasis • Mucocutaneous • Cutaneous • Systemic

  14. Factors predisposing to infection • Immunocompromised • Malignancy • Prolonged antibiotic therapy • Lupus, Diabetes • Pregnancy and use of birth control pills • Age • Damaged skin barrier

  15. Candida albicans • #1 fungal isolate in laboratory • Germ tube: positive • CMT: clustered blastoconidia at septa of pseudohyphae, terminal chlamydospores • CHO: sucrose positive

  16. Candida albicans

  17. Candida stellatoidea • Germ tube: positive • CMT: clustered blastoconidia at septa of pseudohyphae, terminal chlamydospores • CHO: sucrose negative

  18. Candida tropicalis • Germ tube: negative • CMT: sparse single or short-chained blastoconidia anywhere along pseudohyphae, rare chlamydospores • CHO: sucrose positive

  19. Candida glabrata • Causes UTI • Germ tube: negative • CMT: only blastoconidia, no pseudohyphae • CHO: only glucose and trehalose positive

  20. Candida krusei • Germ tube: negative • CMT: tree-like branching of abundant blastoconidia from the septa of elongated pseudohyphae (“cross-matchsticks” appearance)

  21. Candida pseudotropicalis • Germ tube: negative • CMT: branched pseudohyphae with chains of elongated blastoconidia – logs in a stream arrangement of broken up blastoconidia positioned parallel to each other

  22. Candida parapsilosis • Germ tube: negative • CMT: few single or small clustered blastoconidia at or between septa of thin curved pseudohyphae. Sometimes giant pseudohyphae may be observed

  23. Cryptococcus neoformans • Cryptococcosis • Pulmonary • Meningitis • Pigeon droppings

  24. Cryptococcus neoformans • Gram stain • India ink stain

  25. Cryptococcus neoformans • Germ tube: negative • CMT: large, round blastoconidia, no pseudohyphae • Urease: positive (within 3 hours)

  26. Cryptococcus neoformans • Niger seed agar: brown pigment

  27. Cryptococcus neoformans • Cryptococcal antigen test

  28. Geotrichum candidum • Geotrichosis • Mimics Candida infections • Infection in debilitated people • Considered a mold • Germ tube: negative • CMT: arthroconidia andtrue hyphae • Urease: negative

  29. Trichosporon beigelii • Causes White Piedra • Germ tube: negative • CMT: arthroconidia, true hyphae, rare blastoconidia • Urease: positive

  30. Rhodotorula species • Saprophytic yeast found in soil • Rarely a pathogen • Often encapsulated • Urease: positive • Colony pigmentation: reddish-orange

  31. Saccharomyces species • Rarely a pathogen • Ascospores (acid fast positive)

  32. Malassezia furfur • Causes Tinea Versicolor • Septicemia in patients receiving intravenous lipid therapy • KOH: clusters of thick-walled, round budding yeast and short, straight or angular mycelial fragments (spaghetti and meatball appearance) • Lipophilic

  33. In Summary … • Key characteristics of yeast • Identification methods • Germ tube • CMT • Biochemical tests • Clinically significant yeast • Candida albicans • Cryptococcus neoformans

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