Name: Peter Saunders

Theme: Fungal infections

OPTION LIST

A	Aspergillus flavus	I	Trichophytum rubrum
B	Candida albicans	J
C	Corynebacterium minutissimum	K
D	Cryptococcus neoforms	L
E	Epidermophyton floccosum	M
F	Histoplasmosis capsulatum	N
G	Pityrosporum orbiculare	O
H	Pneumocystis carinii	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 6 month old baby presents at his GP with nappy rash. Which is the most likely causative fungus?

2. A 21 year old man presents at his GP complaining of an itchy, scaly rash on the soles of his feet. Skin scrapings are taken and sent away for microscopic examination. Which fungi might be identified?

3. A 55 year old farmer is seen in the Oncology clinic with a diagnosis of hepatocellular carcinoma. He is a lifelong teetotal and his virology has all been negative. Which fungus may have indirectly been a cause of his cancer?

4. A 27 year old lady from Botswana presents at A+E complaining of a dry cough and feeling feverish. A chest x-ray is normal, but fine crackles were heard on auscultation. Serology shows a CD4+ count of 50 and she is admitted. Later a high resolution CT of the chest shows a ground glass appearance of the lungs. What AIDS defining infection does this lady have?

5. A 17 year old Nigerian girl presents at her GP with patches of hypopigmentation on her trunk. After an initial trial of steroid cream, the girl returns complaining that the rash is spreading. Woods lamp examination of the rash produces a yellow fluorescence. What is the causative fungus?

ANSWERS

1. B

2. E, I

3. A

4. H

5. G