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Presentation subtitle
SEJARAH
Sanfelice 1894 : peach juice Italy (Sanfelice, 1894 ) Busse dan Buschke ,1895 : cryptococcosis : chronic ulcer tibia Verse 1914 : cryptococcal meningitis Stoddart dan Cutler 1916 : patologi CNS kapsul polisakarida
MIKROSKOPIS
Bulat kecil bertunas ragi berkapsul Hifa dan pseudohifa invivo invitro Sel ragi berdiameter 5-10
SIKLUS HIDUP
Komplek spesies CN
Cryptococcus Serotipe Neoformans Cryptococcus A var. grubii Neoformans AD hybrid D var. neoformans Cryptococcus B Gattii C Representasi klinik 95% <5% <1% Filamentasi Perkawinan Ya Ya Ya Filamentasi sendiri Tidak Ya Tidak Pseudohifa Ya Ya Tidak
C. neoformans (both serotypes A, D, and AD hybrids) is more often isolated from bird guano
Basidiospora/ ragi kering inhalasi paru granuloma (bentuk dormant) imunosupresi menyebar
CRYPTOCOCCUS GRUBII
From left to right: Encapsulated yeast cells Sexual spores from Serotype A mating Encapsulated yeast and sexual spores on defined media Basidia head bearing four spores at distinct positions Hyphae with a clamp cell, yeast cells and sexual spore chains (Source: Rajesh Velagapudi, and Joseph Heitman, M.D, PhD., Duke University)
C VAR NEOFORMANS
C GATTII
Perbandingan
Velagapudi et al., 2009
Perbandingan
Comparison of morphologies and spore sizes. Spores produced by mating, fruiting, or diploid self-filamentous C. neoformans strains were analyzed by SEM. A comparative profiling of the spores from H99 and KN99a serotype A mating (a), JEC21 and JEC20a serotype D mating (b), and monokaryotic fruiting of serotype D strain XL280 (c) and spores produced by self-filamentous diploid (aAA) strain KN2B5#19 (d) is shown.
Velagapudi et al., 2009