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More on Allergenic Molds Along with pollens from trees, grasses, and weeds, molds are an important cause of seasonal
allergic rhinitis. People allergic to molds may have symptoms from spring to late fall. The mold season often peaks from July
to late summer. Unlike pollens, molds may persist after the first killing frost. Some can grow at subfreezing temperatures,
but most become dormant. Snow cover lowers the outdoor mold count dramatically but does not kill molds. After the spring thaw,
molds thrive on the vegetation that has been killed by the winter cold.
In the warmest areas of the United
States, however, molds thrive all year and can cause year-round (perennial) allergic problems. In addition, molds growing
indoors can cause perennial allergic rhinitis even in the coldest climates.
More On Pathogenic Molds
Pathogenic molds usually produce some type of infection. The word
pathogenic literally means, "capable of causing disease". A normal, healthy individual can probably resist infection
by these organisms regardless of dose, however, pathogenic molds can cause serious health effects in persons with suppressed,
underdeveloped, or compromised immune systems. In some cases, high exposure may cause hypersensitivity pneumonitis (an acute
response to exposure to an organism). People with compromised immune systems would be, infants and small children whose immune
systems are not fully developed, elderly people whose immune systems are essentially worn out, and anyone exposed to AIDS,
chemotherapy, pneumonia, bronchitis, and other respiratory infections.
Bipolaris Species The
U.S. Government's Occupational Safety and Health Administration [OSHA] lists the following as the health effects of Bipolaris
mold:
Allergen,
Irritant, Hypersensitivity pneumonitis, Dermatitis. Bipolaris australiensis showing sympodial development of pale brown, fusiform
to ellipsoidal, pseudoseptate, poroconidia on a geniculate or zig-zag rachis.
Colonies are moderately fast growing, effuse, grey to blackish brown,
suede-like to floccose with a black reverse. Microscopic morphology shows sympodial development of pale brown pigmented, pseudoseptate
conidia on a geniculate or zig-zag rachis. Conidia are produced through pores in the conidiophore wall (poroconidia) and are
straight, fusiform to ellipsoidal, rounded at both ends, smooth to finely roughened and germinating only from the ends (bipolar).
Description
and Natural Habitats Bipolaris is a dematiaceous, filamentous fungus. It is cosmopolitan
in nature and is isolated from plant debris and soil. The pathogenic species have known teleomorphic states in the genus Cochliobolus
and produce ascospores.
Species The genus Bipolaris
contains several species. Among these, three well-known pathogenic species are Bipolaris spicifera, Bipolaris australiensis,
and Bipolaris hawaiiensis. The genus Bipolaris contains about 45 species which are mostly subtropical and tropical plant parasites.
However, several species notably B. australiensis, B. hawaiiensis and B. spicifera, are well documented human pathogens. Clinical
manifestations include mycotic keratitis, subcutaneous phaeohyphomycosis, sinusitis, peritonitis in patients on continuous
ambulatory peritoneal dialysis (CAPD), and cerebral and disseminated infections.
Pathogenicity and Clinical Significance Bipolaris is one of the causative agents of phaeohyphomycosis. The clinical spectrum
is diverse, including allergic and chronic invasive sinusitis, keratitis, endophthalmitis, endocarditis, endarteritis, osteomyelitis,
meningoencephalitis, peritonitis, otitis media (in agricultural field workers),and fungemia as well as cutaneous and pulmonary
infections and allergic bronchopulmonary disease. Bipolaris can infect both immunocompetent and immunocompromised host.
As well as being isolated as
saprophytes on plants, Bipolaris may be pathogenic to certain plant species, particularly to Graminiae and also to animals,
such as the dog. It may cause nasal mycotic granuloma in the cattle. Bipolaris may also be isolated as a laboratory contaminant.
Macroscopic Features Bipolaris colonies grow rapidly, reaching
a diameter of 3 to 9 cm following incubation at 25°C for 7 days on potato dextrose agar. The colony becomes mature within
5 days. The texture is velvety to woolly. The surface of the colony is initially white to grayish brown and becomes olive
green to black with a raised grayish periphery as it matures. The reverse is also darkly pigmented and olive to black in color.
Microscopic Features The hyphae are septate and brown. Conidiophores
(4.5-6 µm wide) are brown, simple or branched, geniculate and sympodial, bending at the points where each conidium arises
from. This property leads to the zigzag appearance of the conidiophore. The conidia, which are also called poroconidia, are
3- to 6-celled, fusoid to cylindrical in shape, light to dark brown in color and have sympodial geniculate growth pattern.
The poroconidium (30-35 µm x 11-13.5 µm) is distoseptate and has a scarcely protuberant, darkly pigmented hilum.
This basal scar indicates the point of attachment to the conidiophore. From the terminal cell of the conidium, germ tubes
may develop and elongate in the direction of longitudinal axis of the conidium.
Teleomorph production of Bipolaris is heterothallic. The perithecium is black in color, and
round to ellipsoidal in shape.
Laboratory Precautions The ascospores are flagelliform
or filiform, hyaline in nature and are found in clavate-shaped or cylindrical asci. Each ascus contains eight ascospores.
No special precautions other than general laboratory precautions are required.
Susceptibility In
vitro susceptibility testing procedures have not been standardized for dematiaceous fungi yet. Very limited data are available
on susceptibility of Bipolaris. These data suggest that itraconazole MICs are variable and voriconazole MICs are considerably
low.
Amphotericin
B and ketoconazole are used in treatment of Bipolaris infections. Surgical debridement may be indicated in some cases, such
as sinusitis.
More On Toxic
Molds
"Black Mold" is a term commonly used to describe molds that are black and slimy. It is also often
used in reference to toxic mold; molds that are know to present health risks to humans and animals by producing Mycotoxins
(poisons). Mycotoxins are fungal metabolites that have been identified as toxic agents. It should be noted, however, that
not all black mold is toxic and that not all toxic mold is black. In fact, there are over 400,000 different types of mold
and many of them are black in color of which only a portion have been identified. Black mold and/or toxic mold are terms often
used in reference to Stachybotrys, (stack-ee-bot-ris) aka: Stachybotrys chartarum, aka: Stachybotrys atra. Many fungi (e.g.,
species of Aspergillus, Penicillium, Fusarium, Trichoderma, and Memnoniella) in addition to Stachybotrys can produce potent
mycotoxins, some of which are identical to compounds produced by Stachybotrys. For this reason, Stachybotrys cannot be treated
as uniquely toxic in indoor environments.
OVERVIEW: Virtually everyone has some type of mold or another somewhere in their home. Although
not all types are toxic, it is sometimes difficult to distinguish types without lab testing. Black molds can develop from
water seepage, and while toxic mold is less common than other mold species, it is not rare. For that reason, it is imperative
to treat and remove all molds as if they are potentially harmful. Regardless of the type of mold found, a
home containing mold is not essentially a healthy home. The notoriety of Stachybotrys leads some to believe that is the only
"toxic mold". That is not true. A number of toxigenic molds have been found during indoor air quality investigations
in different parts of the world. Among the genera most frequently found in numbers exceeding levels that they reach outdoors
are Aspergillus, Penicillium, Stachybotrys, and Cladosporium (Burge, 1986; Smith et al., 1992; Hirsh and Sosman, 1976; Verhoeff
et al., 1992; Miller et al., 1988; Gravesen et al., 1999).
Penicillium, Aspergillus and Stachybotrys toxicity,
especially as it relates to indoor exposures, are discussed briefly in the paragraphs that follow.
PENICILLIUM: Penicillium species
have been shown to be fairly common indoors, even in clean environments, but can be problematic when indoor spore levels are
higher than outdoors (Burge, 1986; Miller et al., 1988; Flannigan and Miller, 1994). Spores have the highest concentrations
of mycotoxins, although the vegetative portion of the mold, the mycelium, can also contain the poison. The viability of spores
is not essential to toxicity. In other words, a dead spore can still be a source of toxin.
ASPERGILLUS: Aspergillus species are also fairly prevalent in problem buildings. This genus contains several toxigenic
species, among which the most important are, A. parasiticus, A. flavus, and A. fumigatus. Aflatoxins produced by the first
two species are among the most extensively studied mycotoxins. They are among the most toxic substances known, being acutely
toxic to the liver, brain, kidneys and heart, and with chronic exposure, potent carcinogens of the liver. They are also teratogenic
(Smith and Moss, 1985; Burge, 1986).
Symptoms of acute aflatoxicosis are fever, vomiting, coma and convulsions
(Smith and Moss, 1985). A. flavus is found indoors in tropical and subtropical regions, and occasionally in specific environments
such as flowerpots. A. fumigatus has been found in many indoor samples. A more common aspergillus species found in wet buildings
is A. versicolor, where it has been found growing on wallpaper, wooden floors, fibreboard and other building material. A.
versicolor does not produce aflatoxins, but does produce a less potent toxin, sterigmatocystin, an aflatoxin precursor (Gravesen
et al., 1994). While symptoms of aflatoxin exposure through ingestion are well described, symptoms of exposure such as might
occur in most moderately contaminated buildings are not know, but are undoubtedly less severe due to reduced exposure. However,
the potent toxicity of these agents advise that prudent prevention of exposures are warranted when levels of aspergilli indoors
exceed outdoor levels by any significant amount. A. fumigatus has been found in many indoor samples. This mold is more often
associated with the infectious disease aspergillosis, but this species does produce poisons for which only crude toxicity
tests have been done (Betina, 1989).
Recent work has found a number of tremorgenic toxins in the conidia of this
species (Land et al., 1994). A. ochraceus produces ochratoxins (also produced by some penicillia as mentioned above). Ochratoxins
damage the kidney and are carcinogenic (Smith and Moss, 1985).
STACHYBOTRYS: Stachybotrys chartarum (atra) has been much discussed in the popular press and has
been the subject of a number of building related illness investigations. It is a mold that is not readily measured from air
samples because its spores, when wet, are sticky and not easily aerosolized. Because it does not compete well with other molds
or bacteria, it is easily overgrown in a sample, especially since it does not grow well on standard media (Jarvis, 1990).
Its inability to compete may also result in its being killed off by other organisms in the sample mixture. Thus, even if it
is physically captured, it will not be viable and will not be identified in a cultured sample media, even though it is present
in the environment and those who breathe it can have toxic exposures. For that reason, it is prudent to take a surface sample,
such as tape or bulk, whenever evidence of black mold is found. This organism has a high moisture requirement, so it grows
vigorously where moisture has accumulated from roof or wall leaks, or chronically wet areas from plumbing leaks. It is often
hidden within the building envelope and inside wall cavities. When Stachybotrys is found in an air sample, it should be searched
out in walls or other hidden spaces, where it is likely to be growing in abundance. This mold has a very low nitrogen requirement,
and can grow on wet hay and straw, paper, wallpaper, ceiling tiles, carpets, insulation material (especially cellulose-based
insulation).
This information was quoted from an article called "Is Indoor Mold Contamination a Threat to
Health?" by Harriet M. Ammann, Ph.D., D.A.B.T. - Senior Toxicologist at Washington State Department of Health, Olympia,
Washington. For a full copy of her report in PDF format CLICK HEREFor a full copy of her report in Microsoft Word format CLICK
HEREStachybotrys is a specific family (genus) of mold that is present in the environment. Out-of-doors stachybotrys molds
help to decay organic matter. One particular species known as stachybotrys atra (sometimes known as stachybotrys chartarum)
is prone to growth indoors. This mold is normally dark brown or black in color. It can look slimy, sooty, or even like grayish
white strands depending on the amount of moisture available and the length of time it has been growing. It is important to
remember that many other common indoor molds can look similar to stachybotrys (including cladosporium, aspergillus, alternaria,
and drechslera), so testing is critical to conclusively identify stachybotrys in a building. Stachybotrys mold needs the proper
conditions in order to grow, including moisture, a nutrient source, temperature, and time. Standing water or a relative humidity
of 90% or higher is necessary for stachybotrys to start germination and grow. However, once the stachybotrys begins to grow
it can continue to propagate even if the surface water source dries up and the relative humidity falls to 70%. The nutrient
sources that best support stachybotrys are those with a high cellulose content. As such, stachybotrys thrives on natural materials
such as hay, straw, and wood chips, as well as building materials such as ceiling tile, drywall, paper vapor barriers, wallpaper,
insulation backing, cardboard boxes, and paper files. Stachybotrys survives a wide variation in temperature and grows most
proficiently in temperatures that humans consider warm to moderately hot. It tends to develop more slowly than many other
molds-one to two weeks after moisture intrusion as compared to one to two days for molds like aspergillus, penicillium, or
cladosporium. Despite its slow start, stachybotrys usually develops into the dominant mold if the conditions are favorable,
eventually crowding out other mold types that may have colonized the material first. Like many other molds, stachybotrys can
spread both through the generation of spores and the growth of root-like structures called mycelia. Stachybotrys spores grow
in clusters at the end of stem-like structures known as hyphae. The spores do not easily disperse into the air if the colonized
material is wet, as the spores are held together by a sticky/slimy coating. Distribution through the air is possible when
the mold dries out or is disturbed. Because of this danger of the airborne dispersion of spores, all cleaning and removal
of stachybotrys mold should be done using appropriate controls. Stachybotrys has a high moisture requirement, so it grows
vigorously where moisture has accumulated from roof or wall leaks, or chronically wet areas from plumbing leaks. It is often
hidden within the building envelope. When S. chartarum is found in an air sample, it should be searched out in walls or other
hidden spaces, where it is likely to be growing in abundance. This mold has a very low nitrogen requirement, and can grow
on wet hay and straw, paper, wallpaper, ceiling tiles, carpets, insulation material (especially cellulose-based insulation).
It also grows well when wet filter paper is used as a capturing medium. S. chartarum has a well-known history in Russia and
the Ukraine, where it has killed thousands of horses, which seem to be especially susceptible to its toxins. These toxins
are macrocyclic trichothecenes. They cause lesions of the skin and gastrointestinal tract, and interfere with blood cell formation.
(Sorenson, 1993). Persons handling material heavily contaminated with this mold describe symptoms of cough, rhinitis,
burning sensations of the mouth and nasal passages and cutaneous irritation at the point of contact, especially in areas of
heavy perspiration, such as the armpits or the scrotum (Andrassy et al., 1979). One case study of toxicosis associated with
macrocyclic trichothecenes produced by S. chartarum in an indoor exposure, has been published (Croft et al., 1986), and has
proven seminal in further investigations for toxic effects from molds found indoors. In this exposure of a family in a home
with water damage from a leaky roof, complaints included (variably among family members and a maid) headaches, sore throats,
hair loss, flu symptoms, diarrhea, fatigue, dermatitis, general malaise, psychological depression. (Croft et al, 1986; Jarvis,
1995).
SUMMARY: Stachybotrys has a different make
up than most other molds and does not produce airborne spore as easily as other molds. If you were to physically touch a spot
of black mold, it would feel slimy and would smear on the area. Areas and substances where black mold can be found include
water soaked wood, ceiling tiles, wall paneling, cardboard, even items made of cotton. Black mold can grow on drywall and
insulation and can infest areas in the floors, walls and ceilings. Moisture is essential to the growth of black mold, and
when it is wet it is shiny in appearance. If and when you are contemplating clean up of black mold, there are two important
considerations; Don't do it yourself and hire only qualified Contractors: (like us)
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