PENICILLIUM


Mucor hiemalis is a fungus which may be allergenic (skin and bronchial tests). There may have been scattered reports of individualswho have been infected by this fungus through wounds. These were reported as a causation agent of a primary cutaneousmycosis in an otherwise healthy person. This organism may cause an infection called "mucorosis" in immune compromised individuals (i. e., transplant recipient, herpes, common cold). The sites of infection are the lung, nasal sinus, brain, eye, and skin. Infections may have multiple sites.

Penicillium species are common contaminants on various substances. This organism causes food spoilage, colonizes leather objects and is an indicator organism for dampness indoors. Some species are known to produce mycotoxins. The health of occupants may be adversely affected in an environment that has an amplification of Penicillium.   Penicillium & Stachybotrys growing on wallboard (above)   Penicilliumis characterized by rapidly growing colonies having conidial structures resembling brushes. It commonly produces a strong musty odor.  Penicillium marneffei is the only species of the genus that has a yeast-like phase induced by temperature. This can make it more difficult in irradiating it when an infection incurs, but not always impossible.

Growth Media Commonly found in soil, food, cellulose and grains. It is also found in paint and compost piles. It is also commonly found in carpet, wall paper, and in organic substances inside interior fiberglass duct insulation (NC). Some species can produce mycotoxins.common cause of extrinsic asthma (immediate-type hypersensitivity: type I). Acute symptoms include edema and bronchi spasms, chronic cases may develop pulmonary emphysema. Many patients complain of a suffocating or gasping sensation when suffering from the effects of penicillium toxicity. But unfortunately, these are also the after effects of many other toxigenic molds.

Penicillium is one of the first fungi to grow on water-damaged materials and has been implicated in causing allergic reactions, hypersensitivity pneumonitis, and a variety of severe lung complications. It may cause sarcoidosis, fibrosis, or allergic alveolitis in susceptible individuals, or patients who have been exposed over long periods of time, depending on the strain.

Toxin Production Penicillium Aurantiogriseum produces mycotoxins that when ingested or inhaled in large quantities, can cause considerable harm to humans and other mammals. Exposure to large spore loads is to be avoided at all costs. There are a number of toxins reported to be produced by this fungus, and are detailed as follows:

The neurotoxin verrucosidin is produced by this fungus. This toxin was associated with a neurological disease in cattle in the USA (J. Amer. Vet Med. Assoc. 179: 480-81,1991). The mycotoxin penicillic acid is also produced by this organism. Although nephrotoxins, which would cause liver and kidney damage, have been reported to be produced by this mold, the reports may have misidentified the mold. Both cyclopiazonic acid and penicillic acid produced by this mold have acute toxic effects on mammals , and it can be assumed that these mycotoxins are the casual agents of liver and kidney lesions in mice fed with contaminated corn.

Further products include ergosterol and the tremorgenic metabolites tremortin A and B and tremorgen. This mold is further known to produce tropolones puberulic acid and puberulonic acid, a mycotoxin of unknown structure, and a -(L)-malic acid that acts as a proteinase inhibitor. As with all toxigenic fungi, exposure to penicillium does alter human DNA and can cause permanent neurological, pathological, immunological and psychological damage.

Penicillium marneffei produces many serious infections that can be focal or disseminated that can affect the bone marrow, kidneys, lungs, intestines, liver, spleen, skin, and soft tissue. The clinical manifestations most commonly associated withPenicillium marneffeiare fever, weight loss, anemia, skin lesions, cough, hepatomegaly, adenopathies, and pulmonary infiltrates.

Apparently, several points of entry are possibly for Penicillium marneffei. The skin, inhalation, and all points of the digestion tract.

Common traits among Penicillium marneffei infected individuals is who have either traveled to and from Southeast Asia and Indonesia, where this fungus is epidemic; and individuals who have been exposed to Penicillium marneffeiin water damaged buildings.

This fungal pathogen is unique among Penicillium species as it is the only one to demonstrate a temperature-dependant dimorphic growth stage. A yeast-like dimorphic phase occurs in human tissueand in temperatures at 37C degrees, while at 24C degrees the mycelial phase, which can be quite helpful in devising a plan of action as far as treatments are concerned.


Clinical features Percentage of cases
Fever 99%
Anemia 78%
Weight changes 76%
Skin lesions 71%
Lymphadenopathy 58%
Hepatomegaly 51%
Pulmonary disease/symptom 49%
Diarrhea 31%
Splenomegaly 16%
Oral lesion 4%