Tuesday, October 16, 2012

FUNGI

Mushrooms, the green slime that forms on stagnant pools, and tinea are all related. They are fungi. Fungi are
members of the plant kingdom, and are one of the types of microscopic life that can infect human beings in many
diverse ways.
The technical terms for a fungal infection are a mycotic infection or mycosis.
The most common site of infection is the skin, where they cause an infection that is commonly known as tinea.
The fungus that causes tinea can be found everywhere in the environment in the form of hardy spores. These are
microscopic in size and may survive for decades before being picked up and starting an infection. Between the toes
the  fungus  causes  a  type  of  tinea  commonly  known  as  athlete's  foot. This  is  because  athletes  sweat  and wear
close fitting shoes that lead to the ideal warm, damp environment favoured by fungi. Similar infections in the groin
cause a red, itchy, rapidly spreading rash. In both situations, creams or lotions are used to kill off the fungus before
it  spreads  too  widely.  The  rash  is  often  slow  to  clear,  because  the  treatments  destroy  the  fungus,  and  do  not
necessarily heal the rash. The body heals the rash itself once the infection is controlled.
Unfortunately,  fungal  skin  infections  (dermatomycoses)  tend  to  recur  because  the  fungus  in  its  cyst  form  is
resistant  to many  types of  treatment. The active  forms of  the  fungus are killed, but  the spores may  remain  in  the
skin pores  to  reactivate once  the  treatment  is ceased. To prevent  this condition, keep  the affected areas cool by
wearing the correct clothing and foot wear, and dry carefully when wet.
Fungi are also  responsible  for many gut  infections, particularly  in  the mouth and around  the anus.  It  is a  rare
infant  that escapes without an attack of oral thrush. The white plaques that form on the tongue and insides of the
cheeks are familiar to most mothers, and this is due to one of a number of fungi. Paints or gels used in the mouth
usually bring it rapidly under control.
Around the anus, the fungus can cause an extremely itchy rash, but in women it may spread forward from the
anus to the vagina to cause the white discharge and intense itch of vaginal thrush or candidiasis. Movement from
the  anus  to  vagina  is  aided  by  nylon  underwear,  tight  clothing  (particularly  jeans),  wet  bathers  and  most
importantly, sex.
Fungi  live normally  in  the gut, and are  in balance with  the bacteria  that are meant  to be  there  to help with  the
digestion  of  our  food.  Antibiotics  may  kill  off  the  good  bacteria,  allowing  the fungal numbers to increase
dramatically, or they may migrate to unwanted areas. In these circumstances, they can cause trouble.
The most serious diseases develop when  fungal  infections occur deep  inside  the body  in organs such as  the
lungs,  brain  and  sinuses.  These  diseases  are  very  difficult  to  treat  and  it may  take many months  with  potent
antifungal drugs to bring them under control. Fortunately, this type of condition is relatively rare.
The most obvious form of fungal infection is ringworm. This is not really a worm, but a fungal infection growing
outward from a central spore, in exactly the same way that mushroom rings form in the garden in damp weather.     
Every species of  fungus  (and bacteria, but not viruses) has  two names  - a family name (eg. Candida) which
uses a capital  initial  letter and comes  first, and a specific species name  (eg: albicans) which uses a  lower case
initial  letter  and  comes  second.  The  fungus which  causes  thrush  is  thus  called  “Candida  albicans”  but may  be
abbreviated to “C. albicans”.
Common fungi, and the diseases they cause or the tissues they attack, include: -

FUNGUS  TYPE OR PLACE OF INFECTION
Aspergillus  Lungs, brain
Blastocystis hominis  Lungs
Blastomycoses dermatitidis  Lungs, skin
Candida albicans  Mouth, vagina, penis (thrush)
Coccidioides immitis  Lungs
Histoplasma capsulatum  Lungs
Mallassezia furfur  Skin (pityriasis versicolor)
Microsporum audouinii  Scalp (cradle cap), nails.
Pneumocystis carinii  Lungs (usually in AIDS patients)
Sporothrix schenckii  Skin (sporotrichosis)
   
   Trichophyton mentagrophytes  Feet (athlete’s foot), nails.
Trichophyton rubrum  Skin, nails
Trichophyton tonsurans  Scalp

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