Blastomycosis pathophysiology: Difference between revisions

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*Which eventually leads to the formation of a non-caseating granulomas.
*Which eventually leads to the formation of a non-caseating granulomas.
===Dissemination===
===Dissemination===
*The fungi multiply in the primary foci and can get disseminate through the blood and lymphatics to other organs, including the skin, bone, genitourinary tract.
*The fungi can disseminate through the blood and lymphatics to other organs, including the skin, bone, genitourinary tract.


[[Image:Blastomycosis-lifecycle.jpg|center|frame|Blastomycosis - life cycle and epidemiology]]
[[Image:Blastomycosis-lifecycle.jpg|center|frame|Blastomycosis - life cycle and epidemiology]]

Revision as of 14:00, 27 February 2017

Blastomycosis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Vidit Bhargava, M.B.B.S [2]

Overview

Transmission

  • Inhalation of the conidia from its natural soil habitat is considered the most significant route of transmission.
  • Other less common route of transmission is by cutaneous inoculation through direct skin injury.

Incubation

  • The incubation period varies from 3 weeks to 3 months after exposure.

Pathogensis

  • Once inhaled in the lungs, the conidia are mostly destroyed due to their susceptibility to neutrophils, leukocytes and macrophages.
  • However, a few conidia escape this protective mechanism and evolve into yeast form, which being double walled structures are more resistant to destruction.
  • This conversion releases a glycoprotien BAD-1, which induces cell mediated immunity.
  • This results in a pyogranulomatous response at the site of infection (lungs).
  • Which eventually leads to the formation of a non-caseating granulomas.

Dissemination

  • The fungi can disseminate through the blood and lymphatics to other organs, including the skin, bone, genitourinary tract.
Blastomycosis - life cycle and epidemiology

References

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