Chapter·MicrobiologyDimorphic fungi

Host factors in dimorphic fungal infectionsDownloads

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1

A 26-year-old man comes to the physician for a follow-up examination. He was diagnosed with HIV infection 2 weeks ago. His CD4+ T-lymphocyte count is 162/mm3 (N ≥ 500). An interferon-gamma release assay is negative. Prophylactic treatment against which of the following pathogens is most appropriate at this time?

ACytomegalovirus

BToxoplasma gondii

CMycobacterium tuberculosis

DAspergillus fumigatus

EPneumocystis jirovecii

2

A 3-year-old recent immigrant is diagnosed with primary tuberculosis. Her body produces T cells that do not have IL-12 receptors on their surface, and she is noted to have impaired development of Th1 T-helper cells. Which of the following cytokines would benefit this patient?

AIL-4

BIL-22

CTGF-beta

DIL-17

EInterferon-gamma

3

A 21-year-old woman comes to the physician because of a 1-week history of white discoloration of the tongue. She has had similar, recurrent episodes over the past 5 years. Examination shows white plaques on the tongue that easily scrape off and thick, cracked fingernails with white discoloration. KOH preparation of a tongue scraping shows budding yeasts with pseudohyphae. This patient's condition is most likely caused by decreased activity of which of the following?

ANeutrophils

BComplement C1–4

CB cells

DT cells

EComplement C5–9

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