Under what conditions can the saprophytes Aspergillus and Rhizopus cause infections?

Tortora 14th Edition
Ch. 24 - Microbial Diseases of the Respiratory System
Problema 6A patient has been diagnosed as having pneumonia. Is this sufficient information to begin treatment with antimicrobial agents? Briefly discuss why or why not.
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Concetti chiave
Diagnosis of Pneumonia
Empiric vs. Targeted Antimicrobial Therapy
Antimicrobial Stewardship and Resistance
List the causative agent, mode of transmission, and endemic area for the diseases histoplasmosis, coccidioidomycosis, blastomycosis, and Pneumocystis pneumonia.
Match the following choices to the culture descriptions in questions 3 through 6:
a. Chlamydia
b. Coccidioides
c. Histoplasma
d. Mycobacterium
e. Mycoplasma
Microscopic examination of a lung biopsy shows ovoid cells in alveolar macrophages. You suspect these are the cause of the patient’s signs and symptoms, but your culture grows a filamentous organism.
In San Francisco, ten animal health care technicians developed pneumonia 2 weeks after 130 goats were moved to the animal shelter where they worked. Which of the following is false?
a. Diagnosis is made by a blood agar culture of sputum.
b. The cause is Coxiella burnetii.
c. The bacteria produce endospores.
d. The disease was transmitted by aerosols.
e. Diagnosis is made by complement-fixation tests for antibodies.
Match the following choices to the culture descriptions in questions 3 through 6:
a. Chlamydia
b. Coccidioides
c. Histoplasma
d. Mycobacterium
e. Mycoplasma
Microscopic examination of a lung biopsy shows spherules.
Complete the following table.
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