1. Explain/Discuss and give the reasons, as presented in the case history, the most likely fungal agent associated with this patient.
2. Illustrate, label, and describe the microscopic findings of the culture of the suspect organism at 37°C and 25°C.
3. Is this organism considered to be dimorphic? Explain, in detail, the reasons for your response.
4. Identify the antifungal agents which may possibly be used to treat the fungal infection.
CASE:
Large amounts of purulent discharge and drusen from the lower duct. In the diagnostic scheme used to identify Gram-positive, branched, and radially arranged bacilli-like organisms, were found in the direct preparation made from the samples from the lacrimal ducts.