IEQ Review
October 19, 2006 Family gets $2M in toxic mold verdict   Volume 1 Issue 239  
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Under the Scope
by Dr. Rajiv Sahay

Pure Air Control Services and the Environmental Diagnostics Laboratory are pleased to introduce "Under the Scope", a new section of the IEQ REVIEW. There are over 100,000 species of fungi. Many fungi are good and useful (edible mushrooms would be an example of these) while some cause problems (some fungi can injure plants and humans). Every week the IEQ Review will describe a specific microorganism, its morphological origin and potential health effects.  If you would like to know about a specific organism and/or would like it published in The IEQ Review please email Dr. Rajiv Sahay with the Environmental Diagnostics Laboratory (EDL) at Pure Air Control Services laboratory@pureaircontrols.com

This week we will cover ...  
 

 
Alternaria alternata



Alternaria sp.:
A rapidly growing fungus that produces a grayish-white colony that becomes greenish-black within five days, when incubated at 25C (77F).  The hyphae, conidiophores, and conidia are pigmented olivaceous-brown (dematiaceous). It is found worldwide and is very common.  It can be isolated from air, plants (including causing "blackspot of roses"), foodstuffs, soil, and textiles.  While Alternaria chartarum, Alternaria dianthicola, Alternaria geophila, Alternaria infectoria, Alternaria stemphyloides, and Alternaria teunissima are among the other Alternaria spp. isolated from infections, some Alternaria strains reported as causative agents remain unspecified.

Clinical relavance:

Alternaria sp. can be an opportunist human pathogen causing a hypersensitivity pneumonitis (woodworker's lung disease), and an immediate-type hypersensitivity-type 1 (IgE-mediated) extrinic asthma and disease that is very common in individuals with atopic disease.  They are one of the causative agents of phaeohypomycosis. Cases of onychomycosis, sinusitis, ulcerated cutaneous infections, and keratitis, as well as visceral infections and osteomyelitis due to Alternaria have been reported. In immunocompetent patients, Alternaria colonizes the paranasal sinuses, leading to chronic hypertrophic sinusitis. In immunocompromised patients the colonization may end up with development of invasive disease.  It is among the causative agents of otitis media in agricultural field workers.

Since Alternaria species are cosmopolitan and ubiquitous in nature, they are also common laboratory contaminants. Thus, their isolation in culture requires cautious evaluation.


 

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