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IPLab:Lab 10:Cryptococcosis

947 bytes added, 21:54, 9 July 2020
Clinical Summary
== Clinical Summary ==
This 46-year-old male presented with a complaint of right-sided chest pain of six months duration. Chest x-ray showed a nodular mass in the lower lobe of the right lung. The mass was resected surgically.
== Autopsy Findings == The 3.5 x 2.5-cm mass was firm, gray, and gelatinous. The mass proved to be a cryptococcal lesion.
== Images ==
File:IPLab10Crypto12.jpg|This is a touch prep of fresh lung tissue that was allowed to air dry and then stained to show the mucopolysaccharide capsule around the cryptococcal organisms (arrows).
</gallery>
 
== Virtual Microscopy ==
=== H&E ===
<peir-vm>IPLab10Crypto_HE</peir-vm>
 
=== Mucicarmine ===
<peir-vm>IPLab10Crypto_Muci</peir-vm>
== Study Questions ==
(3) production of phenoloxidase an enzyme that consumes host epinephrine in the synthesis of fungal melanin and thus protects the fungi from the epinephrine oxidative system present in the host nervous system.
It is thought that one reason why Cryptococcus neoformans preferentially infects the brain may be because the CSF lacks alternative pathway complement components (present in serum) that bind to the carbohydrate capsule and facilitate phagocytosis and killing by polymorphonuclear cells.</spoiler>
 
== Additional Resources ==
=== Reference ===
* [http://emedicine.medscape.com/article/215354-overview eMedicine Medical Library: Cryptococcosis]
* [http://www.merckmanuals.com/professional/infectious_diseases/fungi/cryptococcosis.html Merck Manual: Cryptococcosis]
 
=== Journal Articles ===
* Rooney PJ, Klein BS. [http://www.ncbi.nlm.nih.gov/pubmed/11906450 Linking fungal morphogenesis with virulence]. ''Cell Microbiol'' 2002 Mar;4(3):127-37.
 
=== Images ===
* [{{SERVER}}/library/index.php?/tags/2157-cryptococcosis PEIR Digital Library: Cryptococcosis]
* [http://library.med.utah.edu/WebPath/INFEHTML/INFECIDX.html WebPath: Infection]
It is thought that one reason why Cryptococcus neoformans preferentially infects the brain may be because the CSF lacks alternative pathway complement components (present in serum) that bind to the carbohydrate capsule and facilitate phagocytosis and killing by polymorphonuclear cells.</spoiler>== Related IPLab Cases ==* [[IPLab:Lab 5:&alpha;1 Antitrypsin Deficiency|Lab 5: Lung: &alpha;1-Antitrypsin Deficiency]]* [[IPLab:Lab 12:COPD|Lab 12: Lung: Chronic Obstructive Pulmonary Disease]]
{{IPLab 10}}
[[Category: IPLab:Lab 10]]