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Black Piedra
Presented by
A.R. Deborah (BP211501)
I M.Sc. Applied Microbiology
Sacred Heart College (A)
Tirupattur
GENERAL CHARACTERISTICS
• Affects the hair, primarily the scalp is Black Piedra.
• Black Piedra caused by Piedraia hortae.
• This fungal infection of the hair is characterised by the presence of
firm, irregular nodules along the hair shaft.
• These nodules are composed of fungal elements cemented
together on the hair.
PATHOGENESIS
• It is also known as Trichomycosis nodosa.
• The fungal elements are attached to the hair shaft to form nodules
along the hair shaft to form nodules along the hair shaft.
• The predominantly affects scalp hair, also involvement of beard,
mustache and pubic hairs.
CLINICAL MANIFESTATIONS
• Black Piedra presents as small, dark nodules that surrounds the
hair shafts.
• It is asymptomatic and generally involves the scalp.
LABORATORY DIAGNOSIS
• Microscopic examination of nodule reveal branched, pigmented
hyphae held together by a cement like substance Piedraia hortae.
• Culture (Mycologic media) – Very slow growth observed at 25 ͦ C
and may begin as yeast like colony, later becoming velvety as
hyphal develop.
• Asci may be observed microscopically, ranging from 4 to 30 µm
containg up to 8 ascospores.
TREATMENT
• Hair cut, proper and regular washing.
White Piedra
GENERAL CHARACTERISTICS
• White Piedra is a superficial infection of hair caused by yeast fungi
of the genus Trichosporon : T. inkin, T. asahii, or T. mucoides.
• Microscopic examination reveals hyphal elements, arthroconidia
(rectangular cells resulting from the fragmentation of hyphal cells)
and blastoconidia (budding yeast cells).
• This condition occurs in tropical regions and due to poor hygiene.
PATHOGENESIS
• The pathogenesis of this infection is still unclear, but it is likely to
result from synergy between the fungi and coryneform bacteria.
CLINICAL MANIFESTATIONS
• The primary symptoms of white Piedra are white-to-tan
gelatinous, pearly nodules surrounding the hair shaft.
• Asymptomatic
• Found in facial hair and body hair (Mustaches, beards, eyelashes,
eyebrows, armpit and pubic hair.
LABORATORY DIAGNOSIS
• Microscopic examination – Observation of hyphae on affected hair
(hair sample).
• Mycolic media without cycloheximide Trichosporon sp. will form
cream-colored, dry, wrinkled colonies within 48 to 72 hours upon
incubation at room temperature.
• Morphology on cornmeal agar – both arthroconidia and
blastoconidia are present.
TREATMENT
• Treatment may be accomplished by the use of tropical azoles
• Improved hygiene
• Shaving of the infected hair.
• And should take necessity of medical treatment.
Thank you!!

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Medical Mycology Black Piedra and White Piedra.pptx

  • 1. Black Piedra Presented by A.R. Deborah (BP211501) I M.Sc. Applied Microbiology Sacred Heart College (A) Tirupattur
  • 2. GENERAL CHARACTERISTICS • Affects the hair, primarily the scalp is Black Piedra. • Black Piedra caused by Piedraia hortae. • This fungal infection of the hair is characterised by the presence of firm, irregular nodules along the hair shaft. • These nodules are composed of fungal elements cemented together on the hair.
  • 3. PATHOGENESIS • It is also known as Trichomycosis nodosa. • The fungal elements are attached to the hair shaft to form nodules along the hair shaft to form nodules along the hair shaft. • The predominantly affects scalp hair, also involvement of beard, mustache and pubic hairs.
  • 4. CLINICAL MANIFESTATIONS • Black Piedra presents as small, dark nodules that surrounds the hair shafts. • It is asymptomatic and generally involves the scalp.
  • 5. LABORATORY DIAGNOSIS • Microscopic examination of nodule reveal branched, pigmented hyphae held together by a cement like substance Piedraia hortae. • Culture (Mycologic media) – Very slow growth observed at 25 ͦ C and may begin as yeast like colony, later becoming velvety as hyphal develop. • Asci may be observed microscopically, ranging from 4 to 30 µm containg up to 8 ascospores.
  • 6.
  • 7. TREATMENT • Hair cut, proper and regular washing.
  • 9. GENERAL CHARACTERISTICS • White Piedra is a superficial infection of hair caused by yeast fungi of the genus Trichosporon : T. inkin, T. asahii, or T. mucoides. • Microscopic examination reveals hyphal elements, arthroconidia (rectangular cells resulting from the fragmentation of hyphal cells) and blastoconidia (budding yeast cells). • This condition occurs in tropical regions and due to poor hygiene.
  • 10. PATHOGENESIS • The pathogenesis of this infection is still unclear, but it is likely to result from synergy between the fungi and coryneform bacteria.
  • 11. CLINICAL MANIFESTATIONS • The primary symptoms of white Piedra are white-to-tan gelatinous, pearly nodules surrounding the hair shaft. • Asymptomatic • Found in facial hair and body hair (Mustaches, beards, eyelashes, eyebrows, armpit and pubic hair.
  • 12. LABORATORY DIAGNOSIS • Microscopic examination – Observation of hyphae on affected hair (hair sample). • Mycolic media without cycloheximide Trichosporon sp. will form cream-colored, dry, wrinkled colonies within 48 to 72 hours upon incubation at room temperature. • Morphology on cornmeal agar – both arthroconidia and blastoconidia are present.
  • 13.
  • 14. TREATMENT • Treatment may be accomplished by the use of tropical azoles • Improved hygiene • Shaving of the infected hair. • And should take necessity of medical treatment.