IEQ Review
February 15, 2007 Mold/IAQ Investigation - A Case Study   Volume 1 Issue 261  
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Under the Scope
by Dr. Rajiv Sahay

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 ...   
Candida spp.

 
 
 
Candida is yeast and the most common cause of opportunistic mycoses worldwide. It is also a frequent colonizer of human skin and mucous membranes. Candida is a member of normal flora of skin, mouth, vagina, and stool. As well as being a pathogen and a colonizer, it is found in the environment, particularly on leaves, flowers, water, and soil. While most of the Candida spp. are mitosporic, some have known teleomorphic state and produce sexual spores. See the page on individual species for more detailed information on teleomorphic genera.

The genus 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 due to non-albicans Candida spp., such as Candida glabrata and Candida krusei Patients receiving fluconazole prophylaxis are particularly at risk of developing infections due to fluconazole-resistant Candida krusei and Candida glabrata strains .Nevertheless, the diversity of Candida spp. that are encountered in infections is expanding and the emergence of other species that were rarely in play in the past is now likely

Infections caused by Candida spp. are in general referred to as candidiasis. The clinical spectrum of candidiasis is extremely diverse. Almost any organ or system in the body can be affected. Candidiasis may be superficial and local or deep-seated and disseminated. Disseminated infections arise from hematogenous spread from the primarily infected locus. Candida albicans is the most pathogenic and most commonly encountered species among all. Its ability to adhere to host tissues, produce secretory aspartyl proteases and phospholipase enzymes, and transform from yeast to hyphal phase are the major determinants of its pathogenicity. Several host factors predispose to candidiasis
 
 

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IEQ Quiz of the Week

Which of the following is the most effective means of controlling mold growth?

A. Improve lighting

B. R-11 Freon in HVAC systems

C. Moisture Control

D. Window tinting

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