1 LABORATORY DIAGNOSIS OF FUNGI 2 Practical No. 3 Practi cal No. 3 (L a b o r a to r y e xa m i n a ti o n o f fu n g i ) B. Yeas t s Ob j e c t i v e s : 1- Describe the general structures of the yeasts. 2- To be familiar with the most common methods to identify the yeasts. Gen er al s t r u c t u r es : 1- Yeast cells usually grow as la r g e , s in g le c e lls . Most reproduce by an asexual process called ''b u d d i n g '' . 2- Many types of yeast also produce structures called ''p s e u d o h y p h a e '' . 3- Another structure produced by a few species of yeasts is the ''g e r m tu b e '' . It is a tubal-like structure that grows from the surface of the yeast cell. It has parallel, non-constricted walls. Germ tubes are seen in direct examination of specimens or following growth of yeast cells in media that stimulates their production. Fi gu r e 3 . 1 : Yeast cells 3rd Fi gu r e 3 . 2 : Germ tube Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H LABORATORY DIAGNOSIS OF FUNGI 2 Practical No. 3 Fi gu r e 3 . 3 : Pseudohyphae Ex a m i nat i o n o f ye as t s : I. Ma c r o s c o p i c e x a mi n a t i o n o f y e a s t s : Yeast colonies generally look similar to bacterial colonies. There are a few basic elements that you can identify for all colonies: 1. Form 2. Size 3. Color 4. Elevation 5. Margin 6. Surface (texture) 7. Chromogenesis (pigmentation) II. Mi c r o s c o p i c e x a mi n a t i o n o f y e a s t s : Yeasts are examined by microscope by one of these methods: 1- Gram stain. 2- Wet mount. 3- Germ tube test. 4- India ink test. 3rd Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H 2 LABORATORY DIAGNOSIS OF FUNGI 2 Practical No. 3 Yeast can be identified microscopically by the presence of: 1- Yeast cells, which may be divided by budding. 2- Pseudohyphae. 3- Germ tube. 4- Capsule arround the yeast cell. 3rd Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H 3 4 LABORATORY DIAGNOSIS OF FUNGI 2 Practical No. 3 1. Can di da al bi c an s Ma c r o s c o p i c e x a mi n a t i o n : 1. For m : circular 2. Si ze : small 3. Col or : off-white 4. El e va t i o n: convex 5. Ma r g i n : smooth, entire 6. Surfa ce : buttery Mi c r o s c o p i c e x a mi n a t i o n : 1- Gram positive, small, budding and oval in shape (Figure 3.4). 2- In stained smear, the yeast cells can often be seen attached to pseudohyphae. 3- Germ tube positive (Figure 3.5). Fi gu r e 3 . 4 : Gram positive yeast Fi gu r e 3 . 5 : Germ tube (C. albicans) Ot h e r e x a mi n a t i o n : • CHR O M agar Can di da: this medium has proven to be useful for detection of mixed cultures of Candida species within a single specimen. • Cor n m eal agar : presence of blasoconidia, chlamydospores or hyphae. • API 2 0 C : depends on carbohydrate assimilation. 3rd Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H LABORATORY DIAGNOSIS OF FUNGI 2 Practical No. 3 2. Cr y pt oc oc c u s n eof or m an s Ma c r o s c o p i c e x a mi n a t i o n : 1- For m : circular 2- Si ze : small to medium 3- Col or : beige 4- El e va t i o n: convex 5- Ma r g i n : smooth, entire 6- Surfa ce : creamy Mi c r o s c o p i c e x a mi n a t i o n : 1- Gram positive, single and budding oval or spherical yeast cells. 2- India ink: positive; the cells are surrounded by a thick capsule (Figure 3.6). Fi gu r e 3 . 6 : Capsule (C. neoformans) Ot h e r ex am i n at i on : • Ur eas e t es t : positive for C. neoformans. 3rd Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H 5 6 LABORATORY DIAGNOSIS OF FUNGI 2 Practical No. 3 How t o i den t i f y C. al bi c an s , C. sp p a nd C. n eof or m an s ?? Gr am s t ai n All +ve Ger m t ube – ve +v e C. albicans C. neoformans C. spp API 20C for non--‐C. albicans In d i a i n k +v e - ve C. spp C. neoformans (capsulated) API 20C for non--‐C. albicans 3rd Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H 7 LABORATORY DIAGNOSIS OF FUNGI 2 Practical No. 3 Worksheet Ma t e r i a l s : 1- Yeast culture on SDA. 2- Micsoscope. 3- Microscopic slides. 4- Coverslips. 5- Pasteur pipette. 6- Tube. 7- Wooden applicator stick. 8- India ink. 9- Human serum. Exe rci se 1 : Perform gram stain from the given plate. Result: 3rd Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H LABORATORY DIAGNOSIS OF FUNGI 2 Practical No. 3 Exe rci se 2 : Perform wet preparation from the given plate. Result: Exe rci se 3 : Perform the india ink test. Record your result with drawing. Result: 3rd Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H 8 LABORATORY DIAGNOSIS OF FUNGI 2 Practical No. 3 Exe rci se 4 : Perform germ tube test from the given plate. Record your result with drawing. Method: Step (1): a. Using a Pasteur pipette, dispense 3 drops of fresh-pooled human serum into the tubes. b. With a sterile wooden applicator stick, lightly touch a yeast colony and place the stick into the serum. c. Incubate the tube at 35oC for 1-2 hours. Step (2): a. Using a pasteur pipette, place a drop of the suspension on a clean microscopic slide. b. Place a clean coverslip over the suspension and then examine it under the microscope. Result: 3rd Dr. Nessrin AL-abdallat year Laboratory Medicine, 1434-1435H 9