11.02.2017 Views

DESCRIPTIONS OF MEDICAL FUNGI

fungus3-book

fungus3-book

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

208<br />

Descriptions of Medical Fungi<br />

RG-2 organism.<br />

Morphological Description: Colonies are mostly flat to slightly raised, white to cream,<br />

suede-like to downy, with either no reverse pigment or a yellow-brown to wine-red<br />

reverse. Most cultures show scanty to moderate numbers of slender clavate to pyriform<br />

microconidia. Macroconidia are usually absent, but when present are smooth, thinwalled<br />

multiseptate, slender and cylindrical to cigar-shaped. Older cultures may show<br />

numerous chlamydospores with a few clavate to pyriform microconidia.<br />

Note: On primary isolation some cultures may lack reverse pigmentation and fail to<br />

produce microconidia. These need to be subcultured onto media like lactritmel agar or<br />

potato dextrose agar, which stimulate pigmentation and sporulation. If sporulation still<br />

fails subculture the fungus onto Trichophyton agar No.1.<br />

Confirmatory Tests:<br />

Trichophyton rubrum (Castellani) Semon<br />

Littman Oxgall Agar: Raised, greyish-white, suede-like to downy colony with no<br />

reverse pigment. Some cultures may show a greenish-yellow diffusible pigment.<br />

Lactritmel Agar: Flat, white to rose pink, downy to granular colonies with a deep winered<br />

reverse pigment.<br />

Sabouraud’s Dextrose Agar with 5% salt: Very stunted, white to cream, downy to<br />

glabrous colony with a pale yellow-brown reverse pigment.<br />

1% Peptone Agar: Flat, white to cream, downy to glabrous colony with no reverse<br />

pigment.<br />

BCP Agar: restricted colony growth and neutral (unchanged) pH. Colonies typically<br />

demonstrate red pigment on reverse<br />

Hydrolysis of Urea: Typically, negative at 7 days (some may be positive).<br />

Vitamin Free Agar (Trichophyton Agar No.1): Good growth indicating no special<br />

vitamin requirements. Colonies are flat, white to cream, suede-like to downy with a<br />

deep wine-red reverse pigment.<br />

Hair Perforation Test: Negative at 28 days.<br />

Key Features: Include clinical history, culture characteristics, microscopic morphology<br />

and failure to perforate hair in vitro.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!