Opportunistic Mycoses Specie Aspergillus Disease Aspergillosis Laboratory Diagnosis Direct microscopic examination of fresh clinical samples; subcultures
should be inoculated onto media that lacks cycloheximide Colonies are usually bluegreen to graygreen in bloodenriched medium Characteristic Feature Treatment/ management
A. Fumigatus
Has a presence of septate hyphae and short or long conidiophores; characterized as foot cell at their base. Uniserate or biserate or both with phialides covering the entire surface of a spherical vesicle Biserate with phialides covering the entire surface of a spherical vesicle; conidia are black Biserate with phialides covering the entire surface of a hemispherical vesicle; aleurioconidia are formed on submerged hyphae Hyphae are small and septate; phialides produce single-celled microconidia or large multicelled macroconidia that are
A. flavus
Colonies are yellow green in blood-enriched medium
A. niger
Colonies are black in bloodenriched medium
A. terreus
Resemble powdered cinnamon in blood-enriched medium
Fusarium
Fusariosis
The most common medium used to induce sporulation is cornmeal agar. Keys for
Geotrichum
Geotrichosis
Acremonium
Esophagitis
Penicillium
Allergic bronchopulmona ry penicilliosis,
identification of species are based on growth on potato dextrose agar Colonies initially appears as a white to cream yeastlike colony; some isolates may appear as white powdery molds Colonies are rapidly growing and also may appear yeastlike when initial growth is observed. Mature colonies become white to gray to rose or reddish orange in color. Colonies are most commonly shades of green or blue-green but pink or white colonies may be seen. Surface of the colony may be velvety or powdery. Colonies are often velvety, tan to olive brown and somewhat powdery.
sickle or boat-shaped
Hyphae are septate and produce numerous rectangular to cylindrical to barrel-shape arthroconidia
Small septate hyphae that produce single, unbranched, tubelike phialides are observed. Phialides gives rise to clusters of elliptical, singlecelled conidia contained in a gelatinous cluster at the tip of the phialide Hyphae are hyaline and septate and produce brushlike conidiophores.
Paecilomyces
Paecilomycosis
Scopulariopsis
Colonies initially appear white but later become light brown and powdery in appearance
Microscopically it resembles a penicillium. However the phialides of Paecilomyces are long,delicate and tapering. Conidia are produced from annelophores and may also be produced singly directly from the hyphae.