Types Of Mold
Aspergillus
is a filamentous, cosmopolitan and ubiquitous fungus found in nature.
It is commonly isolated from soil, plant debris, and indoor air environment.
The genus Aspergillus includes over 185 species. Around 20 species have so
far been reported as causative agents of opportunistic infections in man.
Aspergillus is well-known to play a role in three different clinical settings
in man: opportunistic infections; (ii) allergic states; and toxicoses. Immunosuppression
is the major factor predisposing to development of opportunistic infections.
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Alternaria
is a fungus commonly isolated from plants, soil, food, and indoor
air environment.
The genus Alternaria currently contains around 50 species. Among these, Alternaria
alternata is the most common one isolated from human infections..
Alternaria have emerged as opportunistic pathogens particularly in patients
with immunosuppression. They are one of the causative agents of sinusitis,
ulcerated cutaneous infections, and keratitis. It is among the causative agents
of otitis media in agricultural field workers.
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Aphanoascus
is a filamentous fungus that is widely distributed in soil and decaying vegetation
as a common environmental contaminant. It is found most commonly in tropical
to subtropical regions.
Aphanoascus can cause severe infections. The infection is usually acquired
via traumatic implantations, such as accidental injuries, insect bites, surgery,
and contamination of burn wounds. Invasive soft tissue infections develop
on burns or wounds contaminated by soil.
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Apophysomyces
elegans colonies are fluffy and cottony. The inoculated plate is filled with
profuse woolly mycelium in 2 to 3 days. Surface of the colony is white initially
and turns to brownish gray or yellowish cream as the culture gets older. Reverse
is white to pale yellow.
Apophysomyces elegans is a thermotolerant fungus. It grows rapidly at 42°C.
Its growth is favorable also at 26°C and 37°C.
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Arthroderma
is the most clinically significant species affecting humans. This organism
is a documented etiologic agent of mycetoma, photophobia in a contact lens
wearer, sinusitis and meningitis in an AIDS patient, and sinusitis and ophthalmitis
in a healthy individual following trauma to the eye.
Arthroderma species include more rapid growth and cube-shaped white colony
that grows at 37°C.
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Aspergillus
Flavus This species is the etiologic agent in a wide range of
infections including mycotoxicoses owing to aflotoxins, hypersensitivity pneumonitis
, otitis, sinusitis , and invasive disease. Some reports suggest the disease
process may be potentiated by aflotoxins , particularly in the immuno-compromised/neutropenic
host.
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Basidiobolus
- Has been isolated from decaying plants, soil, and from the fecal materials
of frogs, reptiles, fish, and bats. The relationship of these organisms to
human occupied spaces potentiallly suggests a common present of this genera
of fungi in the indoor environments. Should be considered allergenic
_______________________________________________________________________ Blastomyces
It is the causative agent of blastomycosis which is one of the true systemic
(endemic) mycoses. Blastomycosis in general is acquired by inhalation and
initially presents with a pulmonary infection which may later disseminate
to other organs and systems. Hematogenous spread of the organism results in
infection of skin, bones, kidneys and male uro-genital system. it may also
effect immunocompromised patients, indicating that Blastomyces dermatitidis
has now emerged as an opportunistic pathogen.
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Candida
includes around 154 species. Among these, six are most frequently isolated
in human infections. While Candida albicans is the most abundant and significant
species, Candida tropicalis, Candida glabrata, Candida parapsilosis, Candida
krusei, and Candida lusitaniae are also isolated as causative agents of Candida
infections. Importantly, there has been a recent increase in infections.
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Chaetomium
are among the fungi causing infections wholly referred to as phaeohyphomycosis.
Fatal deep mycoses due to Chaetomium atrobrunneum have been reported in an
immunocompromised host. Brain abscess, peritonitis, cutaneous lesions, and
onychomycosis may also develop due to Chaetomium.
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are causative agents of phaeohyphomycosis, chromoblastomycosis, and mycetoma.
Cladophialophora bantiana is neurotropic and causes cerebral phaehyphomycosis
in the form of brain abscesses, for which the clinical course is usually fatal
. It may also cause skin lesions. While Cladophialophora boppii and Cladophialophora
carrioinii are isolated from patients with chromoblastomycosis, Cladophialophora
boppii may also cause skin lesions. Trauma and exposure to soil are main predisposing
factors for acquiring infections due to Cladophialophora carrioinii. Cladophialophora
bantiana is most probably acquired via inhalation.
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Coccidioides
is the causative agent of coccidioidomycosis in humans. Coccidioidomycosis
is one of the true systemic (endemic) mycoses. It is acquired by inhalation
and initially presents with a pulmonary infection which may later disseminate
to other organs and systems. Airway coccidioidomycosis involving the endotracheal
and endobronchial tissues may develop . Inhalation of the dry arthroconidia
of Coccidioides immitis/posadasii, which are carried by dust storms, initiates
the infection. Afterwards, hematogenous spread of the organism results in
infection of skin, bones, joints, lymph nodes, adrenal glands, and central
nervous system
Conidiobolus is a subcutaneous infection involving nasal mucosa and maxillofacial
tissues. This chronic inflammatory granulomatous disease is also referred
to as entomophthoromycosis conidiobolae. It involves facial subcutaneous tissues
and paranasal sinuses, leading to formation of firm, subcutaneous nodules
or polyps. The infection may be acquired via inhalation of spores or a minor
trauma such as an insect bite. The infected host is frequently an otherwise
healthy individual working outdoors in tropical areas. However, the infection
may also develop in patients with underlying pathologies, such as neutropenia
or Burkitt's lymphoma. The organism is thus emerging as an opportunist.
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Cryptococcus
neoformans is the causative agent of cryptococcosis. Given the neurotropic
nature of the fungus, the most common clinical form of cryptococcosis is meningoencephalitis.
The course of the infection is usually subacute or chronic. Cryptococcosis
may also involve the skin, lungs, prostate gland, urinary tract, eyes, myocardium,
bones, and joints.
Epidermophyton is a filamentous fungus and one of the three fungal genera
classified as dermatophytes. It is distributed worldwide. Man is the primary
host of Epidermophyton floccosum, the only species which is pathogenic.
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Exophiala
are among the fungi causing infections wholly referred to as phaeohyphomycosis.
Subcutaneous infections such as mycetoma and chromoblastomycosis may develop
due to Exophiala isolates. These infections are usually acquired via traumatic
implantation and are associated with the existence of local or systemic immunosuppression,
such as organ transplantation. As well as infection and abscess formation
in subcutaneous tissues, prosthetic valvular vegetations, fungemia, and disseminated
infections due to Exophiala spp. have also been reported.
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Fusarium
are causative agents of superficial and systemic infections in humans. Infections
due to Fusarium spp. are collectively referred to as fusariosis. The most
virulent Fusarium spp. is Fusarium solani. Trauma is the major predisposing
factor for development of cutaneous infections due to Fusarium strains. Disseminated
opportunistic infections, on the other hand, develop in immunosuppressed hosts.
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Pseudallescheria
boydii The infections caused are occasionally and wholely referred
to as pseudallescheriasis. The affected host is commonly immunosupressed due
to various reasons, such as hematological malignancies, organ transplantation
or AIDS.
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Pyrenochaeta
romeroi has been isolated from cases with mycetoma. The grains
are soft, irregular, and black with a subhyaline center. Pyrenochaeta unguis-hominis,
on the other hand, has been isolated from the infected nails of some cases.
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Rhizopus
are among the fungi causing the group of infections referred to as zygomycosis.
Although the term mucormycosis has often been used for this syndrome, zygomycosis
is now the preferred term for this angio-invasive disease. _______________________________________________________________________
Scedosporium
can infect both immunocompetent and immunocompromised hosts. Subcutaneous
infections, osteomyelitis, and arthritis are usually posttraumatic and may
affect otherwise healthy individuals. Disseminated infections, on the other
hand, are mostly encountered in patients who are immunosuppressed (particularly,
neutropenic) due to various reasons and are often fatal.
Scopulariopsis is a filamentous fungus that inhabits soil, plant material,
feathers, and insects. It is distributed worldwide. Several species of Scopulariopsis
have teleomorphs which are classified in the genus Microascus. While Scopulariopsis
is commonly considered as a contaminant, it may cause infections in humans,
particularly in immunocompromised patients. It is a weakly keratinolytic fungus
which is highly resistant to benomyl. One of the most striking features of
Scopulariopsis brevicaulis is its association with human deaths by producing
arsine gas from arsenate dyes found in wallpapers.
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Sporothrix
schenckii is the causative agent of sporotrichosis ("rose
handler's disease"). Sporotrichosis is a subcutaneous infection with
a common chronic and a rare progressive course. The infection starts following
entry of the infecting fungus through the skin via a minor trauma and may
affect an otherwise healthy individual.
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Stachybotrys
produces trichothecene mycotoxins, the satratoxins. Trichothecenes are potent
inhibitors of DNA, RNA, and protein synthesis. They modulate inflammatory
reactions and alter alveolar surfactant phospholipid concentrations. These
toxins may be acquired by ingestion of food products contaminated with the
fungus or experimentally, via direct inhalation of the spores The pathogenicity
of Stachybotrys was first observed in cattle and horses in Russia in 1920.
Stomatitis, rhinitis, conjunctivitis, pancytopenia and neurological disorders
developed in animals following ingestion of hay contaminated with Stachybotrys.
This outbreak was the first to draw attention to Stachybotrys and its toxins.
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Trichoderma
infections are opportunistic and develop in immunocompromised patients, such
as neutropenic cases and transplant recipients, as well as patients with chronic
renal failure, chronic lung disease, or amyloidosis. Peritonitis , pulmonary,
perihepatic, and disseminated infections have so far been reported.
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Trichosporon
are the causative agents of white piedra, superficial infections and invasive
trichosporonosis. This fungus has emerged as an opportunistic fungal pathogen.
Immunocompromised hosts are particularly under risk to develop invasive infection,
which usually progresses rapidly, involving various organs and systems, including
the lungs, kidneys, and spleen. Cutaneous lesions as a manifestation of disseminated
infection are also likely. Trichosporon
is one of the fungi isolated from patients with fungemia. It may infect prosthetic
valves, central nervous system (including chronic meningitis), cornea and
the peritoneum (in patients receiving peritoneal dialysis).
Wangiella
dermatitidis is an occasional causative agent of phaeohyphomycosis.
Subcutaneous phaehypomycosis is the most common clinical picture. The infection
develops after traumatic implantation of the fungus through the skin. Wangiella
dermatitidis is a neurotropic fungus. Central nervous system infections have
been reported . It may also cause keratitis, otitis, pneumonia, and endocarditis.
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