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    Superficial Mycoses

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    Superficial Mycoses

    Uploaded by

    y9vfb2f2xt
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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as pptx, pdf, or txt
    0 views15 pages

    Superficial Mycoses

    Uploaded by

    y9vfb2f2xt

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 15

    SUPERFICIAL

    MYCOSES

    1
    Superficial mycoses
    Organisms Diseases

    Malassezia furfur Pityriasis versicolor


    Seborrhoeic dermatitis
    Exophiala werneckii Keratomycosis (Tinea
    nigra)
    Piedraia hortae Black piedra
    Tricosporon beigelii White piedra 2
    Pityriasis (tinea) versicolor
    • Causative agent : Malassezia furfur (A
    lipophilic yeast)
    • It sometimes called “tinea versicolor”
    • It causes chronic infection of stratum corneum
    • Under microscope , they appear as short hyphae
    & yeast
    • It reproduce by budding
    3
    Pathogenesis
    • M. furfur produces a chemical which diffuses
    down & impair the function of the pigment cells
    in the underlying skin
    • Pityriasis versicolor is not contagious
    • More common in hot humid climate
    • M. furfur may remain as normal flora of skin

    4
    Contributing factors :
    • Oily secretions
    • Hormonal change
    • Bacterial flora & impairment of host defenses
    • Humidity & sweating

    5
    Clinical findings :
    • Lesion appear as hyperpigmented or
    hypopigmented patches, commonly found on
    chest, back, neck & arms
    • Lesion may be found on face, scalp, leg &
    abdomen

    6
    Tinea versicolor

    7
    Laboratory diagnosis :
    A)Specimen collection : Material- scraping from
    the center of the lesion
    B)Microscopic examination : 10% KOH
    preparation of skin scraping under microscope
    revealed characteristic short, septate, blunt
    ended hyphae. Also revealed mixture of oval or
    cylindrical yeast cells (round cell) in cluster.
    8
    Malassezia furfur under microscope

    9
    C) Culture : M. furfur require lipid for their
    growth. They grow on SDA media supplemented
    with cycloheximide & olive oil. Alternatively use a
    specialized media like Dixon's agar which
    contains glycerol mono-oleate (a suitable substrate
    for growth).
    d) Wood's lamp: Malassezia may fluoresce on
    exposure to ultraviolet light
    10
    • Microscopy is reported as positive if hyphae and
    yeast cells are seen. However, culture is often
    negative because it is quite difficult to grow the
    yeasts in a laboratory.
    • There is no benefit of fungal culture, as the
    organism is part of the normal flora and isolation
    is therefore not necessarily relevant.
    11
    Treatment :
    Topical application of selenium sulphide, oral
    itraconazole

    12
    Seborrhoeic dermatitis :
    Harmless scaling rash affecting the face, scalp &
    other areas
    Dandruff is seborrheic dermatitis of scalp
    May also occur in eyebrows, ear & skin folds of
    groin
    It is not contagious, or related to diet or genetic
    predisposition
    13
    Treatment
    • Regular use of antifungal agents & intermittent
    use of topical steroids
    • In case of scalp involvement ketoconazole or
    selenium containing shampoo can be used

    14
    Exophila wernekii :
    Disease: Tinea nigra
    Dimorphic fungus
    • White piedra: white nodules on hair shaft of
    axilla
    • Black piedra: black hard nodules on hair shaft of
    beard & scalp
    15

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