Ashton Shared "RSM - Antifungals" - 19 Picmonics
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RSM - Antifungals
Amphotericin B
- Indications
- Systemic Mycosis
- Fungal Meningitis
- Last Resort for Protozoan infections
- Mechanism
- Polyene
- Binds Ergosterol
- Forms Membrane Pores
1 min
Amphotericin B Side Effects & Toxicity
- Side Effects
- Fever/Chills "Shake and Bake"
- Nephrotoxicity
- Milder with Liposomes
- Hypotension
- Anemia
- IV Phlebitis
- Arrhythmias
1 min
Azoles (Ketoconazole)
- "-azole" suffix
- Indications
- Local and Less Serious Systemic Mycosis
- Mechanism
- Inhibits Ergosterol Synthesis
- Inhibits P450
- Side Effects
- Liver Dysfunction
- Inhibition of Testosterone Synthesis
1 min
Echinocandins
- "-Fungin" Suffix
- Indications
- Invasive Aspergillosis
- Candida
- Mechanism
- Inhibits Cell Wall Synthesis
- Inhibits Synthesis of Beta-glucan
- Side Effects
- GI Distress
- Flushing
1 min
Flucytosine
- Indications
- Cryptococcus
- Candida
- Used in Combination with Amphotericin B or Azoles
- Mechanism
- Inhibits DNA and RNA Synthesis
- Converted to 5-FU by Cytosine Deaminase
- Side Effects
- Bone Marrow Suppression
1 min
Antifungals for Superficial Infections
- Polyene Drugs
- Amphotericin
- Nystatin (Candida but not Dermatophytes)
- Natamycin
- Allylamine Drugs
- Terbinafine
- Naftitine
- Azole Drugs
- Ketoconazole
- Miconazole
- Tioconazole
- Fluconazole
- Clotrimazole
- Oropharyngeal & Vulvovaginal Candidiasis
- Mitotic Inhibitor Drugs
- Griseofulvin
- Dermatophyte Localizations
- Tinea corporis (Skin Ringworm)
- Tinea Capitis (Scalp ringworm)
- Tinea Cruris (Jock itch)
- Tinea Pedis (Athlete's foot)
- Tinea Ungum (nails)
- Considerations
- Topical for localized infections; Oral for Widespread or Scalp
- Avoid Topical Corticosteroids
- Story Mnemonic
Nystatin
- Indications
- Candidiasis
- Vaginal
- Oral
- Cutaneous
- Mechanism
- Polyene
- Binds Ergosterol
- Forms Membrane Pores
- Topical form of Amphotericin B
- Side Effects
- Rash
1 min
Terbinafine
- Indications
- Dermatophytosis
- Onychomycosis
- Mechanism
- Inhibits Squalene Epoxidase
- Side Effects
- Hepatotoxicity
- GI Distress
- Taste Disturbances
- Headache
2 mins
Griseofulvin
- Mechanism
- Disrupts Microtubules in Mitosis
- Indications
- Antifungal for Superficial Infections
- Tinea and Ringworm
- Side Effects
- Teratogen
- P450 Inducer
- Confusion
- Headache
2 mins
Candida Albicans
- Fungi
- Yeast with Pseudohyphae at 20 Degrees C
- Germ Tube Formation at 37 Degrees C
- Pruritic Vaginitis
- White Cottage Cheese Discharge
- Fiery Red Mucosa
- Diabetics
- Antibiotic Use
- Esophageal Thrush in Immunocompromised
- Diaper Rash
- Endocarditis in IV Drug Users
2 mins
Chronic Mucocutaneous Candidiasis
- Mechanism and Characteristics
- T Cell Dysfunction
- Candida Albicans
- Signs and Symptoms
- Infections of Skin
- Infections of Mucous Membrane
- Susceptible to HPV Infections like Condyloma Acuminatum
42 secs
Cryptococcus neoformans
- Characteristics
- Monomorphic
- Encapsulated
- Polysaccharide Capsule
- Narrow-Based Buds
- Latex Agglutination
- Pigeons
- India Ink
- Mucicarmine stain
- Signs and Symptoms
- AIDS/Immunocompromised
- Meningitis
- Soap Bubble Lesions in Brain
- Pneumonia
- Treatment
- Fluconazole
- Flucytosine
- Amphotericin
3 mins
Aspergillus fumigatus
- Characteristics
- Fungi
- Monomorphic
- Septate Hyphae
- Branch at Acute Angles
- Fruiting Bodies
- Disease
- Allergic Bronchopulmonary Aspergillosis (ABPA)
- Eosinophilia
- Increased IgE
- Glucocorticoids +/- Azoles
- Pulmonary Aspergillosis
- TB Cavity
- Lung Aspergilloma
- Hemoptysis
- Invasive Aspergillosis
- AIDS/Immunocompromised
- Chronic Granulomatous Disease
- Hemorrhagic Infarction
- Necrotizing Bronchopneumonia
- Voriconazole +/- Caspofungin
3 mins
Histoplasmosis
- Fungi
- 2-5 um
- Yeast Cells within Macrophages
- Starling Bird Poop
- Bat Poop
- Caves
- Mississippi and Ohio River Valleys
- Pneumonia
- Caseating Granuloma
- Erythema Nodosum
1 min
Coccidioidomycosis
- Characteristics
- Fungi
- Dimorphic
- Southwest
- After earthquakes
- Spherule
- 20-60 um
- Signs and Symptoms
- Pneumonia
- Meningitis
- Bone Infection
- Skin infections
- Erythema Nodosum
- Granulomatous Inflammation
- Caseous Necrosis
2 mins
Blastomyces
- Characteristics
- Fungi
- Hyphae Form at 20°-25°C
- Yeast Form at 37°C
- Round Yeast
- 5-15 Micrometer (um or μm)
- Single Broad-Based Buds
- Thick Doubly-Refractive Walls
- East of the Mississippi River and Around the Great Lakes
- Signs and Symptoms
- Pneumonia
- Skin Infection
- Bone Infection
- Granulomatous Response
- Treatment
- Itraconazole
- Amphotericin B
3 mins
Mucor and Rhizopus
- Characteristics
- Fungi
- Irregular Non-septate Hyphae
- Branching Wide Angles over 90 degrees
- Signs and Symptoms
- Leukemic Patients
- Proliferate due to excess ketones and glucose
- Diabetic Ketoacidosis (DKA)
- Rhinocerebral frontal lobe abscess
- Penetrate cribriform plate into brain
- Black Necrotic Eschars on Face
2 mins
Paracoccidioido-mycosis
- Fungi
- Latin America
- Common in Brazil
- Budding yeast with captain wheel formation
- 40-50 um
- Pneumonia
39 secs
Pityriasis Versicolor (Tinea versicolor)
- Mechanism
- Lipid-Dependent Fungus
- Fatty Acids Damage Melanocytes
- Malassezia Furfur
- Hot, Humid Weather
- Signs and Symptoms
- Hypopigmentation
- Hyperpigmented Patches
- Diagnosis
- Spaghetti and Meatball Appearance on KOH Prep
- Fragmented Hyphae with Clusters of Yeast
- Treatment
- Topical or Oral Antifungals
- Selenium Sulfide
- Zinc
4 mins
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