BY2012 Microbiology Gallery of Dimorphic Fungi Fungal Dimorphism ¾ Fungal dimorphism can be defined as growth of a fungal species in either a hyphal (mould) form or in a yeast form ¾ Such morphological transformations are important in the pathogenesis of infections caused by some fungi, including Candida species Examples of Dimorphic Fungal Pathogens ¾ Candida spp: Yeast cell is normal flora commensal; hyphal or pseudohyphal form is invasive form causing infection ¾ Histoplasma capsulatum: Mycelial (or hyphal) phase is saprophytic; yeast form is parasitic and causes infection ¾ Paracoccidioides brasiliensis: Hyphal or mycelial form is saprophytic; yeast phase causes infections Fungal Dimorphism Mucor rouxii – A Model System Filamentous mould with hyphae and sporangia (arrowed) Budding yeast of Mucor rouxii Fungal Dimorphism • Yeast (commensal) to hyphae or pseudohyphae (invasive form) transformation ¾ Candida albicans ¾ Candida dubliniensis ¾ Other Candida species Candida albicans and Oral Thrush Source: Atlas of Clinical Oral Pathology, 1999 Fungal Dimorphism Candida albicans Yeast phase – normal flora [Gram stain] Hyphal phase infection Yeasts growing at 30°C on agar. Filamentous hyphae produced when growing at 37°C in vivo causing invasion of epithelial tissue. Fungal Dimorphism Candida albicans * Fluorescent stain to identify C. albicans yeast cells (asterisk) and hyphae (arrowed) in a tissue section Fungal Dimorphism • Hyphal mycelium (saprophytic form) to yeast (invasive form) transformation • Fungal spores are inhaled or infect the skin and on germination form yeasts • Thermally dimorphic fungi: ¾ Histoplasma capsulatum (lungs) ¾ Blastomyces dermatitidis (lungs) ¾ Sporothrix schenckii (skin) ¾ Paracoccidioides brasiliensis (mouth & nose) ¾ Penicillium marneffei (skin and lungs) Fungal Dimorphism Histoplasma capsulatum Mycelial growth of hyphae on agar as saprophyte Yeast cells Hyphae forming budding in tissue macroconidia infection (sporangia) [arrowed] Filamentous mould growing at 20-25°C. Yeasts produced when growing at 37°C in vivo. Fungal Dimorphism Blastomyces dermatitidis Mycelial growth of hyphae on agar as saprophyte Hyphae, conidiophores and conidia (arrowed) Yeast cells in tissue infection Filamentous mould growing at 20-25°C. Yeasts produced when growing at 37°C in vivo. Fungal Dimorphism Sporothrix schenckii Mycelial growth of hyphae on agar as saprophyte Hyphae, conidiophores and conidia (arrowed) Yeast cells in tissue infection Filamentous mould growing at 20-25°C. Yeasts produced when growing at 37°C in vivo. Fungal Dimorphism Paracoccidioides brasiliensis Mycelial growth Yeast cells Hyphae, of hyphae on agar conidiophores and budding in tissue as saprophyte infection conidia (arrowed) Filamentous mould growing at 20-25°C. Yeasts produced when growing at 37°C in vivo. Fungal Dimorphism Penicillium marneffei, a dimorphic fungus infecting immunocomprised patients Conidiophores and conidia Filamentous mould growing at 20 - 25°C Yeast cells are infective in skin and other tissues Penicillium yeasts divide by fission not budding Yeasts produced when growing at 37°C in vivo Fungal Dimorphism • Hyphal mycelium (saprophytic form) to spherule [endospore] (invasive form) conversion ¾ Coccidioides immitis Fungal Dimorphism Coccidioides immitis Mycelial growth of hyphae on agar as saprophyte Hyphae and formation Spherules (sporangia) of arthroconidia from containing endospores the hyphae (arrowed) in tissue infection by segmentation Filamentous mould growing at 20-25°C. Spherules containing endospores are produced when growing at 37°C in vivo. Fungal Dimorphism Coccidioides immitis Thick-walled spherule Numerous endospores containing numerous (2–5 μm) in lymph node endospores
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