C. albicans - Normal intestinal flora in 40-80% of healthy people. • They also isolated from oral cavity, vagina& rectal area

Clinical diseases:Z

  • Superficial lesion
  • Mucous membrane:
    1. Oral thrush: discrete white patches on mucosal surface.
    2. -Vaginal thrush: white lesion on vulva, vagina and cervix.
  • Skin: Infection occurs in moist warm area as axilla, groin, submammary fold
  • Nail: Infection of finger web, nail fold
  • Chronic mucocutaneous (CMC) candidiasis

Systemic lesion:

  • Candidal endocarditis: follows heart valve surgery.
  • Candidaemia

Clinical diseases caused by aspergillosis

  • Superficial Aspergillosis: Fungal colonization in:

    1. paranasal sinuses,
    2. external ear,
    3. eye
  • Respiratory disease:

    1. Bronchial asthma: following inhalation of spores.
    2. Broncho-pulmonary Aspergillosis: the hyphae occlude lumen of bronchioles.
    3. Aspergilloma: Called fungus ball occur on preexisting lung cavity e.g. TB.
  • Invasive Aspergillosis: Haematogenous spread from lung to other organs.