MLSMV 301                                                                       3RD YEAR - 2ND SEMESTER (SY ‘24-’25)
MYCOLOGY & VIROLOGY (LECTURE)
I.METHODS OF REPRODUCTION                                                      3.3 Chlamydoconidia
                  I. ANAMORPH                                     Chlamydospores
      Involves mitotic division of the haploid                   Thick-walled, resistant, resting spores
       nucleus and is associated with production                   produced by rounding up and enlargement
       by budding, spore-like conidia, or by                       of hyphal part
       separation of hyphae                                      Classified according to hyphae location
      Asexual form                                           Terminal                Located at the end/tip
      Conidia                                                                        of the hyphae
             Reproductive element of anamorph                Intercalary             Found     within  the
                II. TELEOMORPH                                                        hyphae
                                                              Sessile                 Found on the side of
      Involves the haploid nuclei of donor or                                        hyphae
       receipient cells fuse to form a diploid
       nucleus, which then divide by classic
       meiosis
      Meiosis
      Sexual Form
      Spores
             Reproductive element of teleomorph
    III. SPORES INVOLVED IN ANAMORPH
      Conidia
      Blastoconidia
      Chlamydoconidia
                                                                                 3.4 Arthroconidia
      Arthroconidia
      Sporangiospores                                                 Arthrospores
                    3.1 Conidia                                        Involves the simple fragmentation of the
                                                                        mycelium
      Spores produced single or multiply in long                      Appears “Jointed” rectangular/barrel shaped
       chains or clusters by specialized vegetative                     spores
       hyphae known as conidiospores
      Macroconidia
            Large multicellular conidia
      Microconidia
            Small unicellular conidia
                                                                               3.5 Sporangiospores
                                                                       Spores contained in a sporangia or sacs
                                                                        that are produced terminally on an a septate
                                                                        hyphae (sporangiospore)
                3.2 Blastoconidia
      Blastospores
      Develops as daughter cell buds off the
       mother cell and is pinched off
                                                                IV. SPORES INVOLVED IN TELEOMORPH
                                                                       Ascospores
                                                                       Zygospores
                                                                       Oospores
                                                                       Basidiospores
PREPARED BY: DELA CRUZ, ARVIN JULES F.
BS MEDICAL TECHNOLOGY THIRD YEAR - SECOND SEMESTER | BULSU (MAIN)   1
                                                                        ASF
                 4.1 Ascospores                                              People who is immunocompromised
                                                                              in nature:
      Spores are contained in a sac-like ascus                                     Patients              undergoing
                                                                                     chemotherapy
                                                                                     (chemotherapeutic agents will
                                                                                     not only attack cancer cells,
                                                                                     but also healthy cells
                                                                                    Patient                    taking
                                                                                     immunosuppressive           drugs
                                                                                     (Ex. Autoimmune disease like
                                                                                     Lupus)
                                                                       Tissue penetration and invasion
                 4.2 Zygospores                                              Infestation - outer layer of skin
      Involves the fusion of two identical cells                            Invasion - inner infection
       arising from the same hyphae                                         VI. SPECIMEN COLLECTION
                                                                       Skin Specimens
                                                                             Cleaned with 70% alcohol to remove
                                                                              dirt, oil, and surface saprophytes
                                                                              (unwanted organisms)
                                                                             Can be fungal contaminants
                                                                       Nail
                                                                             Same procedure with skin specimen
                                                                             Nail must be clipped
                                                                             Nails must be minced finely before
                   4.3 Oospores                                               innoculating the nail to the fungal
      Involves the fusion of spores from two                                 media
       separate, non-identical hyphae                                  Hair
                                                                             Methods include plucking, brushing,
                                                                              or with a use of a sticky tape
                                                                       Body fluid
                                                                             Normal sterile environment should be
                                                                              maintained in the container
                                                                             Ex. Blood, sputum, CSF (in
                                                                              meningitis)
                                                                VII. SPECIMEN TRANSPORT/HANDLING
                                                                       Hair and Nails
                4.4 Basidiospores                                            Sent in the laboratory through the
      Spores are contained in a club-shaped                                  use of dry sterile envelope (present
       Basidium                                                               inside a container)
                                                                             Envelope is contained in a sterile
                                                                              container
                                                                             Container is labeled with biohazard
                                                                              label
                                                                       Any growing cultures must be on the
                                                                        tube media, NOT PLATES
                                                                             Petri dish or plated media may be
                                                                              contaminated by air
                                                                             Tube media is screw-capped for
                                                                              proper sealment
         V. MODE OF TRANSMISSION                                       Inside labeling information must contain
                                                                        complete information
     Fungi           are        found        in                             Patient Identification
      nature/environment/everywhere                                          Specimen source
Usually acquired from the external environment                               Suspected organism
via:
                                                              VIII. LABORATORY DIAGNOSIS OF FUNGI
     Inhalation
            Most common                                    How we identify fungi?
            Inhalation of infectious conidia               Through direct observation
             generated from environmental molds                  Macroscopic - growth on culture media
     Immunocompromised patient                                  Microscopic       -  appearance     under
            Most common                                          microscope
            Patient with weak immune system                 Medical technologists search for the
                                                             following:
PREPARED BY: DELA CRUZ, ARVIN JULES F.
BS MEDICAL TECHNOLOGY THIRD YEAR - SECOND SEMESTER | BULSU (MAIN)   2
                                                                        ASF
       Spores                                                               Cryptococcus neoformans (+)
       Hyphae                                                               Trichophyton mentagrophytes (+)
       Mycelial elements                                                    Trichophyton rubrum (-)
       Budding cells (yeasts)                                         Hair Baiting Test
       Mycotic granules                                                     To differentiate Trichophyton spp.
Laboratory Diagnosis/Laboratory Procedures                                   Trichophyton mentagrophytes (+)
for Fungi:                                                                   Trichophyton rubrum (-)
             Wet Mount Preparation                                           (+)     RESULT         =    V-shaped
                                                                              penetration of the hair shaft by the
      Good for yeast examination                                             fungal species
      Lost of fragile structures is minimized
                 10% KOH Mount
      Good for skin and hair scrappings, nails,
       sputum, and vaginal washings
      Potassium hydroxide is used for:
            Clearing specimen’s tissue cells
            Clears mucus
            Clears unwanted structures but fungi
            Not affect fungi as it is resistant to
             KOH (fungi cell walls have chitin)
                  Fungal Culture
   GOLD STANDARD for diagnosing fungi
   Because culturing of fungi is more sensitive
    than direct examination
   Fungal cultures must be held for 21 days (3
    Weeks) at room temperature
   Molds are cultured
   Yeast = incubated in 37°C
 NOTE:
     Specimen - unprocessed (Ex. Blood)
     Sample - ready for examination (Ex.
      Serum/Plasma)
 What   we     look     for   during        Colony
 Examination?
     Color of colony margins
     Color of center of colony
     Grooves and cuts
     IX. MISCELLANEOUS FUNGAL TEST
      Germ Tube Test
           Important initial test for identification
            of candida spp. (yeast)
           Confirmatory test for Candida ablican
            spp.
           Yeast     colonies     collected     and
            incubated with serum at 37°C
                  37°C to optimize the growth
                  Serum as source of nutrients
           (+) RESULT = Budding forms
      L-DOPA Ferric Citrate Test
           Rapid identification of Cryptococcus
            neoformans
           Enzyme detected: Phenol oxidase
            enzyme
           (+)       RESULT          =        Black
            product/Blackening
      Urease Test
           Alkalinization of the media
           To differentiate Trichophyton spp.
           (+) RESULT = Pink color (Alkaline
            pH)
PREPARED BY: DELA CRUZ, ARVIN JULES F.
BS MEDICAL TECHNOLOGY THIRD YEAR - SECOND SEMESTER | BULSU (MAIN)   3
                                                                        ASF