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Question

Which of the following fungal infections is caused by dermal inoculation of the fungal agent, usually from a thorn?

The correct answer is
Sporotrichosis

Fungal Infection from Thorn Inoculation

The question asks to identify a fungal infection caused by dermal inoculation, often originating from a thorn.

Sporotrichosis: The Correct Match

Sporotrichosis is the fungal disease that aligns with these characteristics.

  • Cause: Caused by Sporothrix schenckii.
  • Transmission: Enters the skin via puncture wounds (like from thorns or splinters) or cuts.
  • Common Name: Often called "rose gardener's disease" due to this common transmission route.

Eliminating Other Fungal Infections

The other options represent different types of fungal infections:

  • Mycetoma: A chronic infection usually involving deeper skin layers and bone, often presenting with characteristic "grains".
  • Aspergillosis: Commonly affects the lungs or sinuses, especially in immunocompromised individuals; not typically associated with thorn punctures.
  • Mucormycosis: A serious infection often affecting the sinuses, lungs, or skin, primarily in severely immunocompromised individuals.

Sporotrichosis is uniquely characterized by its typical inoculation route through skin injuries like thorn pricks.

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Important Questions from Fungal Infections

  1. Which of the following opportunistic systemic mycoses is characterized by rapid development of severe tissue necrosis and emerged as specific complication associated with COVID-19 infection in India?
  2. Consider the following statements with regard to coccidioidomycosis: 

    1. It is a primary systemic mycosis caused by dimorphic fungi Cocci- dioides immitis and Coccidioides posadasii. 

    2. Primary pulmonary coccidioido- mycosis presents with cough, fever, chest pain and arthritis. 

    3. Progressive pulmonary coccidioido- mycosis presents with constitu- tional symptoms like fever, weight loss, anorexia and features of lobar pneumonia. 

    4. Coccidioides meningitis is a mild disease, not warranting any treatment. 

    Which of the statements given above are correct?

  3. A patient receiving chemotherapy develops neutropenia. He presents with fever, cough, expectoration, chest pain and hemoptysis. His CT scan of chest reveals nodular infiltrates with halo sign and crescent sign. The most useful drug for treating him is
  4. Consider the following statements with regard to Amphotericin B :
    1. It is a narrow spectrum antifungal agent.
    2. It can cause nephrotoxicity.
    3. It lacks an oral preparation.
    4. Its lipid formulations are less toxic.
    Select the correct answer using the code given below:
  5. Which one of the following moulds causes mucormycosis, commonly known as 'black fungus'?
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