Difference between revisions of "Respiratory Fungal Infections - Pathology"

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#REDIRECT[[:Category:Respiratory Fungal Infections]]
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|linkpage =Cardiorespiratory System - Pathology
 
|linktext =Cardiorespiratory System
 
|maplink = Cardiorespiratory System (Content Map) - Pathology
 
|pagetype =Pathology
 
|sublink1=Respiratory System Inflammation - Pathology
 
|subtext1=RESPIRATORY SYSTEM INFLAMMATION
 
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===''Aspergillus fumigatus''===
 
[[Image:Aspergillus pneumonia of cattle.jpg|right|thumb|100px|<small><center>Aspergillus hyphae in cattle lung (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
 
[[Image:Aspergillosis in nasal cavity.jpg|right|thumb|100px|<small><center>Nasal aspergillosis (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
 
 
 
*[[Aspergillus spp.|''Aspergillus fumigatus'']]
 
*Most commonly in dogs but also other species
 
*Causes [[Nasal cavity - inflammatory#Infectious causes of rhinitis|rhinitis]], often also involves the [[Paranasal Sinuses Inflammatory - Pathology#Infectious causes of sinusitis|frontal sinus]]
 
*Chronic necrotising inflammation with friable exudate containing necrotic tissue and fungal hyphae
 
* Result in severe neutrophilic [[Nasal cavity - inflammatory|rhinitis]]/[[Paranasal Sinuses Inflammatory - Pathology|sinusitis]]
 
*These lesions can be aggressive causing destruction of turbinates and nasal septum
 
*Can occur secondary to areas of mucosal compromise eg: adjacent to a space-occupying lesion
 
*Can cause pulmonary aspergillosis especially in '''birds''', but also other animals
 
**Initiated by inhalation of spores,the most likely source of which is mouldy feed and bedding
 
**Given the wide exposure that occurs, it is thought that immunodeficiency may contribute to colonisation with this organism
 
**Gross lesions :  
 
***Multiple discrete grey/ white nodules which develop around fungal colonies
 
***Blood vessels can become involved in the lesions -> invasion, haemorrhage or thrombosis
 
**Histologically:
 
***Granulomatous chronic lesions
 
***Macrophages and epithelioid cells
 
***Fibrous capsule
 
*In horses:
 
**[[Nasal cavity - inflammatory#Infectious causes of rhinitis|Nasal aspergillosis]]
 
**[[Guttural pouches - inflammatory|Guttural pouch infections]] in horses - fungal plaques form on the adventitia of the carotid arteries can lead to catastrophic haemorrhage following erosion of carotid arteries!
 
**Often present with [[Respiratory System Clinical Signs - Pathology#Epistaxis|epistaxis]]
 
**May present with neurological dysfunction
 
**Rarely extends to other resions: cranium, middle ear, atlanto-occipital joint
 
**May extend to [[Paranasal Sinuses Inflammatory - Pathology#Infectious causes of sinusitis|sinuses]]
 
 
 
===''Cryptococcus neoformans''===
 
 
 
*[[Yeast-like fungi|''Cryptococcus neoformans'']]
 
*Causes a [[Nasal cavity - inflammatory#Infectious causes of rhinitis|granulomatous rhinitis]], gelatinous exudate, [[Lungs - inflammatory#Granulomatous pneumonia|granulomatous pneumonia]]
 
*Nodules or destructive masses which often result in facial swelling
 
*In severe cases, extension from nasal cavity to involve skin and oral mucosa can occur
 
*Can invade through adjacent structures, eg: through the cribiform plate into the brain! These cases therefore can present as a primary neurological disease.
 
*Microscopic:
 
**Large number of fungi and only few macrophages, lymphocytes and giant cells
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
===Blastomycosis===
 
 
 
*Caused by [[Yeast-like fungi|''Blastomyces dermatitidis'']]
 
*Occurs mainly in the Americas, Middle East and Africa, occasionally in Europe
 
*Mainly in young dogs, occasionally other species
 
*Can involve almost any tissue after spread from lungs
 
*Gross lesions:
 
**[[Lungs - inflammatory#Granulomatous pneumonia|Granulomatous pneumonia]]
 
*Microscopic lesions:
 
**Yeast fungi with thich walls in nodules with macrophages, neutrophils and giant cells
 
 
 
===Histoplasmosis===
 
 
 
*Caused by [[Yeast-like fungi|''Histoplasma capsulatum'']]
 
*Gross lesions in lungs:
 
**Firm encapsulated granulomas ([[Lungs - inflammatory#Granulomatous pneumonia|granulomatous pneumonia]])
 
*Microscopic lesions:
 
**Macrophages with inracytoplasmic yeasts
 
*Also in other tissues
 
 
 
===[[Fungi|''Pneumocystis carinii'']]===
 
 
 
*Important cause of pneumonia in humans associated with immunodeficiency states
 
*It has been occasionally reported in young or immunosuppressed animals (e.g. Arabian foals with congenital immunodeficiency)
 
*Grossly:
 
**Diffuse [[Lungs - inflammatory#Interstitial pneumonia|interstitial]] [[Lungs - inflammatory#Infectious causes of pneumonia|pneumonia]]
 
**Patches of firmness or consolidation
 
*Histologically:
 
**Alveoli are filled with pale staining acidophilic material (= trophozoite and cyst forms of the organism)
 
*It is thought that as P. carinii is often present as a latent infection, alveolar macrophages normally control the organism - a process which fails in immunodeficient states
 

Latest revision as of 11:07, 20 July 2010