yeasts - wiv-ispbudding yeasts and pseudomycelium in urine sediment (unstained). candida tropicalis...

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Yeasts in clinical specimens and in culture

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Page 1: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Yeastsin clinical specimens and in culture

Page 2: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans Gram-positive staining yeastcells and polymorpho-

nuclear leukocytes in sputum (Gram stain).

Page 3: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans C. albicans in a vaginal smear. The budding pseudomycelium is much broader than the Gram-

positive lactobacilli (Gram stain).

Page 4: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans C. albicans in a vaginal smear. The pseudomycelium

is much broader and longer than the Gram-positive lactobacilli (Gram stain).

Page 5: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans Abundant Gram-positive pseudomycelium and

epithelial cells in saliva (Gram stain).

Page 6: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans Pseudomycelium, blastospores, and Gram-positive

rods in a case of thrush (Gram stain).

Page 7: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans Pseudomycelium, blastospores, and Gram-positive rods in oesophagitis from an HIV-patient (Gram stain).

Page 8: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicansPseudomycelium in faeces (Gram stain).

Page 9: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans In urinesediment: many epithelial cells, lactobacilli

and pseudomycelium (Gram stain).

Page 10: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans Blastospores in faeces. They are smaller ( 3 to 4 μ) than the

smallest cysts and have no typical structure. They also stain dark violet with Gram’s method (Lugol stain).

Page 11: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans Mycelium, round to slightly oval blastospores, and two

thick-walled chlamydospores in a slide culture on corn-meal agar (Cotton blue stain).

Page 12: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans Mycelium and many thick-walled chlamydospores in a

slide culture on corn-meal agar (Cotton blue stain).

Page 13: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans Mycotula aspect: mycelium and round to slightly oval

blastospores in clusters around the mycelium in a slide culture on corn-meal agar (Cotton blue stain).

Page 14: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans This species and Candida stellatoidea form «germ tubes»within 3 to 4 hours of incubation in serum. This phenomenon is

used for rapid identification (Unstained).

Page 15: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans This species and Candida stellatoidea form «germ tubes»within 3 to 4 hours of incubation in serum. This phenomenon is

used for rapid identification (Unstained).

Page 16: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans This species and Candida stellatoidea form «germ tubes»within 3 to 4 hours of incubation in serum. This phenomenon is

used for rapid identification (Unstained).

Page 17: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida albicans A Gram stain of Candida albicans in culture shows

yeasts and mycelium (Gram stain).

Page 18: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida glabrata Absence of mycelium, but presence of round to slightly oval small blastospores in a slide culture on

corn-meal agar (Cotton blue stain).

Page 19: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida glabrata Absence of mycelium, but presence of round to

slightly oval small blastospores in a culture on Sabouraud agar (Gram stain).

Page 20: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida krusei Mycocandida aspect: mycelium and typical elongated

blastospores branching from the mycelium in a slide culture on corn-meal agar (Cotton blue stain).

Page 21: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida kruseiElongated blastospores in broth (Unstained).

Page 22: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida kruseiA thin powdery pellicle that creeps up against the glass

wall of a tube of Trypticase Soy Broth (TSB).

Page 23: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida parapsilosis Mycocandida aspect: delicate mycelium and round to

slightly oval blastospores in a slide culture on corn-meal agar (Cotton blue stain).

Page 24: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida pseudotropicalis Mycocandida aspect: delicate mycelium and round to

slightly elongated blastospores in a slide culture on corn-meal agar (Cotton blue stain).

Page 25: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida sake Absence of mycelium, but presence of round to slightly oval small blastospores in a slide culture on

corn-meal agar (Cotton blue stain).

Page 26: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida tropicalis Budding yeasts and pseudomycelium in urine sediment

(Unstained).

Page 27: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on corn-meal agar

(Cotton blue stain).

Page 28: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Candida zeylanoides Mycocandida aspect: delicate mycelium and round to

slightly oval blastospores in a slide culture on corn-meal agar (Cotton blue stain).

Page 29: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Cryptococcus neoformans Round large yeast cell with bud, surrounded by a translucent capsule in cerebrospinal fluid (India ink

stain).

Page 30: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Cryptococcus neoformans Round large yeast cells, surrounded by a capsule in

pus (Gram stain).

Page 31: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Cryptococcus neoformans Round large budding yeast cells in culture (Gram

stain).

Page 32: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Cryptococcus neoformans Absence of mycelium and round blastospores of varying diameter in a slide culture on corn-meal agar

(Cotton blue stain).

Page 33: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Geotrichum candidum Large arthrospores and round blastospores of G.

candidum in faeces can sometimes be mistaken on direct examination for cysts of protozoa (Lugol stain).

Page 34: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Geotrichum candidum Arthrospores and large blastospores of G. candidum in

faeces can be differentiated from cysts of protozoa by Gram stain (Gram stain).

Page 35: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Geotrichum candidum Large arthrospores in a slide culture on corn-meal agar

(Cotton blue stain).

Page 36: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Geotrichum candidum Large arthrospores in a culture on Sabouraud’s agar

(Unstained).

Page 37: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Malassezia furfur Round spores and small fragments of mycelium in skin

scrapings from a lesion of tinea versicolor (Stained with Parker ink in potassium hydroxide).

Page 38: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Malassezia furfur Round spores and small fragments of mycelium in skin

scrapings from a lesion of tinea versicolor (Stained with Parker ink in potassium hydroxide).

Page 39: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Pityrorosporum ovale (syn.Malassezia furfur)

Small yeast cells in a peripheral blood smear from a patient receiving intravenous lipid-enriched alimentation (May-Grünwald-Giemsa stain).

Page 40: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Rhodotorula sp. Round and oval blastospores in culture (Unstained).

Page 41: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Saccharomyces cerevisiae The ascospores are stained green by malachite green,

and the blastospores red with safranin (Wirtz stain).

Page 42: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Trichosporon beigelii (syn. cutaneum)

Mycelium, round to ovoid blastospores and rectangular arthrospores in a slide culture on corn meal

agar (Cotton blue stain).

Page 43: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Trichosporon beigelii (syn. cutaneum)

Mycelium, round to ovoid blastospores and rectangular arthrospores in a slide culture on corn meal

agar (Unstained).

Page 44: Yeasts - WIV-ISPBudding yeasts and pseudomycelium in urine sediment (Unstained). Candida tropicalis Delicate mycelium and round to slightly oval blastospores in a slide culture on

Trichosporon capitatum Mycelium, elongated arthrospores, and blastospores in

a slide culture on corn meal agar (Unstained).