Superficial and cutaneous |
Skin, hair and nail |
Skin infections confined to epidermis |
Human, animal, soil |
For mould and environmental yeasts—contact with infected material, minor abrasion |
For commensal yeast species—changes in host susceptibility, underlying disease |
Subcutaneous |
Skin |
Penetration of the dermis and subcutaneous tissue |
Traumatic inoculation, fungi are environmental |
Systemic |
Blood, lungs, internal organs, dissemination possible |
Dissemination from internal infection into the skin may be possible |
Opportunistic infections—major risk is immune suppression, underlying disease, hospitalisation |
Endemic dimorphic infections—inhalation of fungal spores, immune suppression |