Association for Molecular Pathology


Self-Test: AMP Case Report Article for CAP Today

 

Multilocus sequencing for rapid identification of molds

February 2013

1.
Zygomycoses are important to recognize and treat aggressively in immunocompromised patients due to a highly morbid and often fatal clinical course. Which statement is false?
  a) Zygomycosis may cause a rapidly fatal, clinically obscure
infection even in non-immunocompromised patients.
b) As a class of antifungals, azoles have good efficacy
against Zygomycetes.
c) The stomach is the most common site of infection in
gastrointestinal zygomycoses.

d) Zygomycoses may infect a wide range of tissue sites,
possibly leading to uncommon presentations that evade
early detection.


2.
In tissue, zygomycosis may show variation from normal characteristic morphology (variable-width ribbon-like hyphae, irregular branching, aseptate), but are typically PAS positive and silver negative. Classic Zygomycete morphology includes:
  a) 45-degree branching. b) Narrow filamentous hyphae. c) Budding yeast forms. d) Fruiting bodies.

e) No to weak reactivity with silver special stains.

 

3.
Molecular identification of organisms in paraffin-embedded tissues is a rapid and accurate diagnostic test, and if done in a timely manner, can guide clinical therapies. Which diagnostic modality cannot identify fungal organisms beyond the genera level?
  a) Fungal culture. b) Ribosomal DNA sequencing. c) Histomorphology and special stains. d) MALDI-TOF mass spectrometry.