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ENVIRONMENTAL HAZARDS - INSPECT, TEST, REMEDY

MOLD: A COMPLETE GUIDE to TEST CLEAN PREVENT

ACTIVITY of MOLD in BUILDINGS
AGE of MOLD - Old is the Mold?
AIR CLEANER PURIFIER TYPES
AIR FILTERS for HVAC SYSTEMS
AIR TEST SAMPLING CASSETTE STUDY
AIRBORNE MOLD COUNT NUMBER GUIDE
AIRBORNE PARTICLE ANALYSIS METHODS
ALLERGEN TESTS for BUILDINGS
ATTIC MOLD

BASEMENT MOLD
BATHROOM MOLD
BROWN HAIRY BATHROOM MOLD
BIBLIOGAPHY for ENVIRONMENTAL HEALTH, MOLD, IAQ
BIOLOGICAL POLLUTANTS
BLACK MOLD, HARMLESS COSMETIC
BLACK MOLD, TOXIC & ALLERGENIC
BLEACHING MOLD, Advice about
BOOK MOLD, Moldy Book Cleaning
BOOKSTORE - ENVIRONMENTAL

CACTUS FUNGI / MOLD
CAR MOLD CONTAMINATION
CARPET DUST IDENTIFICATION
CARPET PADDING ASBESTOS, MOLD, ODORS
CARPET FUNGICIDAL SPRAY
CARPET STAIN DIAGNOSIS
CARPET & other STAIN TESTS
CARPET TEST PROCEDURE
CARPETING & INDOOR AIR QUALITY
CAT DANDER
CHAIN OF CUSTODY - TEST SAMPLE
CLEARANCE INSPECTIONS - MOLD CLEANUP

DIRECTORY of MOLD / ENVIRONMENTAL EXPERTS
DIRT FLOOR MOLD CONTAMINATION
Disinfecting Buildings with Bleach
DO-IT-YOURSELF MOLD CLEANUP WARNINGS
DUST ANALYSIS for FIBERGLASS
DUST, HVAC CONTAMINATION STUDY

EFFLORESCENCE, Salts & White / Brown Deposits

FEAR of MOLD - MYCOPHOBIA
Fiberboard Insulation Sheathing Mold
FIBERGLASS INSULATION MOLD
FIND MOLD, ESSENTIAL STEPS
FIND MOLD in BUILDINGS, HOW TO
FIRE DAMAGE vs MOLD DAMAGE
FLOODS IN BUILDINGS-mold
FOXING STAINS on books & papers
FUNGICIDAL SPRAY & SEALANT USE GUIDE

GAS DETECTION INSTRUMENTS
GAS EXPOSURE EFFECTS, TOXIC
GAS EXPOSURE LIMITS & STANDARDS
GAS TEST PROCEDURES

HOUSE DUST ANALYSIS
HUMIDITY CONTROL & TARGETS INDOORS

ITCHY FABRICS

LABORATORY SERVICES
LAB PROCEDURES MICROSCOPE TECHNIQUES
LIGHT, GUIDE to FORENSIC USE

MEDIA BLASTING for MOLD REMOVAL
METHANE GAS SOURCES
MICROSCOPE DIGITAL PHOTOGRAPHY
MEDIA BLASTING for MOLD REMOVAL
METHANE GAS SOURCES
MICROSCOPE DIGITAL PHOTOGRAPHY
MILDEW ERRORS - MOLD PHOTOS
MILDEW REMOVAL & PREVENTION
MOISTURE CONTROL in BUILDINGS
MOLD: A COMPLETE GUIDE TO MOLD
MOLD EXPERT, WHEN TO HIRE
MORGELLONS SYNDROME
MVOCs & MOLDY MUSTY ODORS
MYCOPHOBIA, STAINS MISTAKEN for MOLD
MYCOTOXIN EFFECTS of MOLD EXPOSURE

ODORS GASES SMELLS, DIAGNOSIS & CURE

RENTERS GUIDE TO MOLD & IAQ
ROBIGUS & Wheat Rust Fungus

SMELL PATCH TEST to Track Down Odors
STAINS on & in BUILDINGS, CAUSES & CURES

THERMAL IMAGING MOLD SCANS
TRAPPED MOLD BETWEEN WOOD SURFACES

UV LIGHT BLACK LIGHT USES

VAPOR BARRIERS & CONDENSATION
VENTILATION in BUILDINGS
Volatile Organic Compounds VOCs

WATER ENTRY in buildings

More Information

Stachybotrys,spores (left) and structure (right)Mold Classes & Classes of Mold-Related Illness
     

  • MOLD CLASSES, LEVELS
      Cosmetic mold
      Allergenic mold
      Common Mold-Allergic Responses
      Pathogenic, Toxic, or "Infectious" Mold
      Attempts to "kill" mold using bleach
      Effective mold cleanup
    • Classes or Types of Mold - by Degree of Potential Effect of Mold on Humans
    • Definitions of cosmetic mold, allergenic mold, & pathogenic mold - three levels of concern
    • Definitions of & Explanations of Mycotoxins, Mycoses, Mycotoxicoses
    • What's the difference between fungal mycoses & fungal mycotoxicoses & what are the usual pathways of infection?
    • Comparing two types of Mycoses: primary pathogens vs opportunistic pathogens
    • Examples & Symptoms of Mycotoxicoses
  • Questions & Answers about the classes & types of mold-related illnesses, fungal infections, about testing for mold exposure, etc.
  • References

Click to Show or Hide Related Topics

  • MOLD: A COMPLETE GUIDE - home
  • ACCEPTABLE MOLD LEVEL
  • ACCURACY OF VARIOUS MOLD TEST METHODS
  • ACTION GUIDE - WHAT TO DO ABOUT INDOOR MOLD
  • AIR POLLUTANTS, COMMON INDOOR
  • AIR TEST FOR MOLD: ACCURACY
  • ALLERGY TESTS for PEOPLE
  • BLACK MOLD, HARMLESS
  • BLEACHING MOLD, Advice
  • CARPET MOLD CONTAMINATION
  • CRAWLSPACE MOLD ADVICE
  • DISASTERS: BUILDING INSPECTION & REPAIR - home
  • DRYWALL MOLD
  • DUST SAMPLING PROCEDURE
  • EMERGENCY RESPONSE, IAQ, GAS, MOLD
  • FORENSIC & IAQ FIELD IAQ EQUIPMENT SOP - home
  • HIDDEN MOLD, HOW TO FIND
  • INDOOR AIR QUALITY IMPROVEMENT GUIDE
  • INSULATION MOLD
  • MILDEW in BUILDINGS ?
  • MOLD ACTION GUIDE - WHAT TO DO ABOUT MOLD
  • MOLD AGE - Old is the Mold?
  • MOLD APPEARANCE - WHAT MOLD LOOKS LIKE
  • MOLD APPEARANCE on VARIOUS SURFACES
  • MOLD APPEARANCE - STUFF THAT IS NOT MOLD
  • MOLD CLEANERS - WHAT TO USE
  • MOLD CLEANUP, DO IT YOURSELF
  • MOLD CLEANUP GUIDE to GET RID OF MOLD
  • MOLD CLEARANCE INSPECTIONS
  • MOLD DOCTORS - ENVIRONMENTAL MEDICINE
  • MOLD EMERGENCY RESPONSE
  • MOLD EXPERT, WHEN TO HIRE
  • MOLD EXPOSURE RISK LEVELS
  • MOLD EXPOSURE STANDARDS
  • MOLD PRODUCTS, INEFFECTIVE
  • MOLD RELATED ILLNESS SYMPTOMS
  • MOLD SPRAYS, SEALANTS, PAINTS
  • MOLD TEST vs. PROBLEM DIAGNOSIS
  • MOLD TEST KITS
  • MOLD TEST METHOD ACCURACY
  • MOLD TEST REASONS
  • MOLD TESTING METHOD VALIDITY
  • MOLD TESTING SERVICES
  • MVOCs & MOLDY MUSTY ODORS
  • MYCOTOXIN EFFECTS of MOLD EXPOSURE
  • OZONE for MOLD OR ODORS
InspectAPedia tolerates no conflicts of interest. We have no relationship with advertisers, products, or services discussed at this website.

Classes of harmful or irritating mold & mold related illnesses: this document lists classes or types of mold (harmless to toxic) and names types of common mold-related illness. We explain the types and classes of mold or fungal related illnesses, and we provide definitions and comparisons among mold-illness terms that otherwise can lead to confusion: cosmetic mold, allergenic mold, toxic mold, toxic black mold, pathogenic mold, mycoses or mycosis, mycotoxicoses or mycotoxicosis, and primary versus opportunistic pathogens.

Green links show where you are. © Copyright 2013 InspectAPedia.com, All Rights Reserved. Author Daniel Friedman.

Classes or Types of Mold - by Degree of Potential Effect of Mold on Humans

Readers should also see MOLD RELATED ILLNESS for a complete, detailed list of health complaints associated with mold exposure. See MOLD DOCTORS - ENVIRONMENTAL MEDICINE for help in finding a physician specializing in mold exposure, mold related illness, or environmental medicine.

Cosmetic mold

Photograph: typical cosmetic bluestain mold on new framing lumber, floor joists -  © Daniel Friedman

"Cosmetic mold" refers to mold genera or species which are unlikely to be a health hazard nor to cause damage to the building structure.

A common example found on framing lumber, often from time of construction, is black mold in the Ophistomacae group including Ophistoma sp. and Ceratocystis sp. which are commonly known as "blue stain" fungi. If these are present in the finished living space it may be appropriate to clean and coat the stained areas for cosmetic reasons. More costly measures are unlikely to be justified.

See Recognize Cosmetic Mold

Allergenic mold

"Allergenic mold" is not normally dangerous in small quantities, but can be a problem for people who are particularly allergic to mold or who have asthma. In large quantities it is more likely to be a problem for these individuals.

Allergenic mold can be cleaned or removed by people who are not personally mold-sensitive by using ordinary cleaning methods and while wearing appropriate respiratory protection and gloves.

People who are particularly mold sensitive should avoid working with or disturbing moldy materials which might cause a reaction or increase their sensitivity. Where large areas of this mold are involved, e.g. in excess of 30 sq.ft., professional cleaning is likely to be needed.

Common Mold-Allergic Responses

  • Allergic Rhinitis - affects 20-30% of the population. Other than molds, dust mites and mite fecal pellets, pollen or other plant fragments, and animal dander such as from pets or mice can cause or contribute to this complaint.
  • Asthma - affects about 5% of the U.S. population. Several molds commonly found indoors may be a factor in triggering an asthma attack, including the most common genera, Cladosporium sp. and Alternaria sp. Others, Penicillium sp. and Aspergillus sp. which we often find indoors in buildings with a history of water or moisture problem are asthma triggers. Various other factors besides mold can cause or contribute to asthma attacks.
  • Hypersensitivity pneumonitis, or extrinsic allergic alveolitis, may be caused by airborne biological particles. Some experts, (Arora, A.S., "Understanding the Health Effects of Mold," vi-vii, Synergist magazine, September 2003) assert that this is a rare problem today but we suspect that it may be a risk where water-cooled air conditioning systems or mishandled air conditioning condensate are used or present.

Examples of Mold Related Illnesses

  • Aspergillosis - affects people who have become sensitized to Aspergillus sp., an inflammation of the respiratory airways. Aspergillosis should not be considered an allergy and is potentially fatal.

  • Blastomycosis a potentially fatal fungal infection (localized lung infection or a skin infection) caused by inhaling Blastomyces dermatitidis, primarily affects farmers, gardeners, potentially also infections by the fungus entering a cut in the skin. (Diagnosed by examination of bodily fluids, assisted by x-ray for lung assessment), lung infections can be successfully treated with proper medication. Some sources describe alternative treatments for skin infections.[10]
  • Cryptococcus infection (cryptococcosis): (from bird droppings), at primary risk are people with compromised immune system but normal adults can also be infected by inhalation of Cryptococcus neoformans, leading to a form of meningial encephalitis. Cryptococcosis is a fungal disease caused by Cryptococcus neoformans or Cryptococcus gattii. Most people do not get sick with cryptococcosis, but some people are more likely than others to get this disease. For these people, cryptococcosis can cause serious symptoms of lung, brain and spinal cord disease, such as headaches, fever, cough, shortness of breath, and night sweats. Cryptococcus neoformans is found in bird droppings. Cryptococcus gattii is found in soil around trees. [13]
  • Histoplasmosis (from bat droppings). This is the most commonly occurring infection in this group, caused by inhalation of Histoplasma capsulatum. In people with compromised immune system this can be a particularly dangerous infection, potentially fatal if not treated. See also granuloma, iritis, lung nodules. [12]
  • Tinea pedis (from skin contact). Athlete's foot, also called tinea pedis, is the most common type of fungal infection. It's closely related to other fungal infections such as ringworm and jock itch. Although contagious, athlete's foot often can be treated with over-the-counter antifungal medications. [11]
  • A very wide range of mold related illnesses or suspected-mold-related illness complaints has been voiced by both by our clients and InspectAPedia readers. Details are at MOLD RELATED ILLNESS GUIDE and at MOLD RELATED ILLNESS SYMPTOMS

Pathogenic or "Infectious" Mold - Mycoses

Mold in this group can cause infections in humans, including not only people at particular risk (such as those having a compromised immune system) but also people who are normal and healthy. In general, fungal or mold-related illnesses that are classed as mycoses result from a fungus that actually grow on or in human (or other animal) tissues.

Please also read about the difference between fungal mycoses & fungal mycotoxicoses in Definitions of & Explanations of Mycotoxins, Mycoses, Mycotoxicoses (found below).

In most general terms we often include this group in our "Toxic mold" category below, but properly it is a separate group.

Toxic Mold - distinguished from Pathogenic Mold

Toxic mold can present serious health risk to humans or animals by producing or containing chemical poisons. Unlike the pathogenic molds discussed above, Health effects from toxic mold exposure may be temporary irritation or more serious longer term illness, immunosuppression, neurological disorders, or cancer.

Mycotoxins can be produced by or are contained some fungal spores and may remain present in the fungal material (potentially also in fungal hyphae) even if the mold spores are not viable - i.e. have been "killed" by a chemical disinfectant (bleach).

When a toxic mold has been identified as contaminating a building, advice from a mold professional is appropriate. The average homeowner should not attempt to clean up this type of contamination.

The Toxic Black Mold Mistake - inaccurate reports, misspending, building cleaning mistakes

  • Black mold on drywall (C) Daniel FriedmanToxic black mold is an unfortunate term popularized by a media-scare following reports of pulmonary illness or death due to exposure to Stachybotrys chartarum. There is no doubt that severe exposure to this fungus can cause serious illnesses in a range of types of complaints that according to our clients include skin infections, eye infections, lung infections, and neurological damage, sometimes quite serious.

    Our photo (left) illustrates a serious "black mold" building contamination problem.

What is misleading, in fact in our opinion downright dangerous about the term "toxic black mold" is that people may be misled to believe that only black mold is harmful. Not only is this not at all the case, but in many building mold investigation cases dark colored molds (which may be black, dark brown, or other dark colors) are selected for sampling, resulting in important errors when assessing the risk of building mold contamination:

  • Over-reporting of black mold in buildings: The easy to see toxic black mold becomes the focus, perhaps the sole focus of building cleaning and mold remediation, leading investigators or mold remediators to fail to adequately detect and map the presence of other mold contaminants that are lighter in color, harder to see, or perhaps even hidden in building cavities. A result of over-reporting of what is easy to see is that studies of the frequency of occurrence of harmful mold genera/species in buildings may be very inaccurate. This is especially true of amateur-collected mold test samples. See MOLD FREQUENCY in BUILDINGS and see Black Mold.
  • Over-spending on cosmetic mold: fear of toxic black mold has led some building owners or occupants to spend enormous sums on unnecessary mold remediation projects because harmless or cosmetic black mold was mistaken for its toxic cousin. See Recognize Cosmetic Mold and see Recognize Harmless Black Mold
  • Under-reporting of other harmful mold in buildings: the focus on toxic black mold can mislead investigators to fail to discover that other molds in the building actually pose a great risk to occupants, possibly greater than the "toxic black mold". For example, Stachybotrys chartarum are large sticky black mold spores that may be as big as 10 x 20u (photo at below left) that tend to remain on a surface unless vigorously disturbed such as by demolition of moldy drywall.
    Black mold under the microscope (C) Daniel Friedman Aspergillus mold under the microscope (C) Daniel Friedman
    At the same time, harder to spot Aspergillus sp. may be present over large building areas in the form of much smaller yet toxic or pathogenic mold spores that may be as small as 1u (photo at above right) that are far more easily airborne, remain in air longer and are breathed more deeply into the lungs than their larger cousins. See Green Mold and White Mold for examples.

Clear Definitions of & Explanations of Mycotoxins, Mycoses, Mycotoxicoses

What's the difference between fungal mycoses & fungal mycotoxicoses & what are the usual pathways of infection?

Actually our use of the prefix "fungal" is redundant as both mycoses and mycotoxicoses originate in the fungal kingdom.

Mycoses are pathogens that attack healthy or weakened individuals, as we distinguish in a moment, and in seriousness range from an irritating skin fungal infection to potentially fatal invasion of bodily tissues in the lung (aspergillosis) or even the head and brain. What characterizes fungal mycosis is that the fungus is actually growing on or in the tissues or organs of the person or animal affected. (Both athlete's foot (tinea) and aspergillosis involve such fungal growth on or in a person's tissues - a foot or a lung for example).

The usual path of infection for mycoses is from breathing in spores or by skin contact.

Mycotoxicoses are examples of “poisoning by natural means” and thus are analogous to the pathologies caused by exposure to pesticides or heavy metal residues. In other words, unlike a mycosis (fungus growing in an organ), a mycotoxicosis acts on a person other animal by producing a chemical that itself is a poison. [1]

The usual path of infection for mycotoxicoses are eating contaminated food but breathing in spores or skin contact infections also occur.

Comparing two types of mycoses: primary pathogens vs opportunistic pathogens

A more accurate characterization of the Fifth Kingdom (molds) with respect to mold related illness (mycoses) start by dividing the causing pathogenic fungi into two categories

  • Primary pathogens - can infect healthy individuals (e.g., Coccidioides immitis and Histoplasma capsulatum)
  • Opportunistic pathogens - tend to infect people already at extra risk due to compromised immune system or other factors (e.g., Aspergillus fumigatus and Candida albicans). Most pathogenic mold-related illnesses are opportunistic pathogens. (Which is where some support for Glenn's "eat healthy" comments above might be found.)

Examples & Symptoms of Mycotoxicoses

The most important mycotoxins that may affect humans or other animals are aflatoxin, citrinin, ergot akaloids, fumonisins, ochratoxin A, patulin, trichothecenes, and zearalenone. These poisons may enter the body by eating contaminated food (most common means) but also by inhalation or skin contact (such as some of our clients who report severe and some protracted medical symptoms that ensued after unusually high exposure to Stachybotrys chartarum or Memnoniella echinata [the author] during moldy building demolition or cleanup.) [1]

The symptoms of a mycotoxicosis depend on the type of mycotoxin; the amount and duration of the exposure; the age, health, and sex of the exposed individual; and many poorly understood synergistic effects involving genetics, dietary status, and interactions with other toxic insults. Thus, the severity of mycotoxin poisoning can be compounded by factors such as vitamin deficiency, caloric deprivation, alcohol abuse, and infectious disease status. In turn, mycotoxicoses can heighten vulnerability to microbial diseases, worsen the effects of malnutrition, and interact synergistically with other toxins. [1] J.W. Bennett and M. Klich

Definition of mycotoxin

A mycotoxin is a poison produced by a fungus. "Poison" as used here is properly understood to cause illness or death to a human or
other animal.

Mycotoxins are made by fungi and are toxic to vertebrates and other animal groups in low concentrations. [1

Quoting from Bennett and Kilch in Clinical Microbiology in an authoritative article that itself cites 290 expert sources:

Mycotoxins are secondary metabolites produced by microfungi that are capable of causing disease and death in humans and other animals. Because of their pharmacological activity, some mycotoxins or mycotoxin derivatives have found use as antibiotics, growth promotants, and other kinds of drugs; still others have been implicated as chemical warfare agents. ...

While all mycotoxins are of fungal origin, not all toxic compounds produced by fungi are called mycotoxins. The target and the concentration of the metabolite are both important. Fungal products that are mainly toxic to bacteria (such as penicillin) are usually called antibiotics.

Molds (i.e., microfungi) make mycotoxins; mushrooms and other macroscopic fungi make mushroom poisons. The distinction between a mycotoxin and a mushroom poison is based not only on the size of the producing fungus, but also on human intention. Mycotoxin exposure is almost always accidental. In contrast, with the exception of the victims of a few mycologically accomplished murderers, mushroom poisons are usually ingested by amateur mushroom hunters who have collected, cooked, and eaten what was misidentified as a delectable species.

Mycotoxins are not only hard to define, they are also challenging to classify. Due to their diverse chemical structures and biosynthetic origins, their myriad biological effects, and their production by a wide number of different fungal species, classification schemes tend to reflect the training of the person doing the categorizing. Clinicians often arrange them by the organ they affect. Thus, mycotoxins can be classified as hepatotoxins, nephrotoxins, neurotoxins, immunotoxins, and so forth. Cell biologists put them into generic groups such as teratogens, mutagens, carcinogens, and allergens. Organic chemists have attempted to classify them by their chemical structures (e.g., lactones, coumarins); biochemists according to their biosynthetic origins (polyketides, amino acid-derived, etc.); physicians by the illnesses they cause (e.g., St. Anthony's fire, stachybotryotoxicosis), and mycologists by the fungi that produce them (e.g., Aspergillus toxins, Penicillium toxins). None of these classifications is entirely satisfactory. - [1] J.W. Bennett and M. Klich

Not all fungi produce mycotoxins and those that do don't always do so

Not all fungi produce mycotoxins, and even fungi that do produce them do not always do so - depending on growing conditions such as what particular "food" substrate the fungus is growing upon.

Interestingly, and part of our objection to "killing" mold as a mold remedy, is that some mold spores that contain mycotoxins
continue to do so even after the a mold spore been rendered unable to "grow" further. Thus a "dead" mold spore can still be harmful
to humans. (Fungal products that are toxic to plants are called phytotoxins.) See MOLD KILLING GUIDE

A More Broad Set of Categories of Building Mold

A more complete categorization that helps people understand the risk associated with all types of mold growths found in buildings on building surfaces would use the following categories: [3][4][5]

MOLD CLASSES, LEVELS
  Cosmetic mold
  Allergenic mold
  Common Mold-Allergic Responses
  Pathogenic, Toxic, or "Infectious" Mold
- here we include both mycoses and mycotoxicoses

Attempts to "kill" mold using bleach or fungicidal disinfectants are improper

Attempts to "kill" mold, such as by using bleach, are inappropriate and ineffective since some spores can be dangerous even if they have been made not viable. This is why simply spraying or "bleaching" a moldy surface with a disinfectant is not effective. Actual cleaning or removal of contaminated materials is the appropriate step when fungal-contamination is found indoors.

Effective mold cleanup is possible - Here's What to Do

An effective mold cleanup is entirely possible and often leaves a building cleaner than when it was originally constructed. A mold clearance test following professional remediation is used to assure that the cleanup has been effective.

But unless the original causes of mold growth are corrected (usually leaks and building water entry) the problem is likely to recur. Finally, the object of mold cleanup is not normally to produce a sterile indoor environment.

Mold is normal material found in outdoor air and is present virtually everywhere. The cleaning objective is to clean up or "remove" problematic levels of allergenic or toxic mold and to bring the remaining level of common fungal spores in a building down to levels commonly found in buildings which have not suffered leaks, water entry, and problematic mold growth.

Reference: some of the notes from this page are paraphrased from a guest column, "Understanding the Health Effects of Mold," by Dr. Ajit S. Arora, MD, PhD, appearing in AIHA's magazine "The Synergist," September 2003,

See our main website (below) for very important additional information such as mold testing, cleanup and mold remediation guideline resources.


Frequently Asked Questions (FAQs) About Mold Exposure & Persistence of Mold Related Illness Complaints

Question: Do Mold Exposure Symptoms Persist After Leaving the Moldy Environment?

I have been trying for months to find a mold doctor, mold test lab or mold treatment clinic that will do mold testing in humans. I have been sick for over two years and to date my doctors are still not sure what is wrong with me. I have seen a total of 17 physicians, but still I have no diagnosis. The latest finding is one doc who thinks I might have MS. However, I have been reading the symptoms of mold poisoning which also mimic the symptoms of MS.

Unfortunately, I can't get any of my doctors to agree with one another on the mold theory. They keep telling me that if you remove yourself from the [mold-contamination] situation - you should get better. That hasn't happened to me, thus why they think it is something else.

Therefore, I wanted to know if you can point me in the right direction for mold testing in humans. I don't mean skin testing - I've had that done twice already - and I was positive for molds among other things. I need the kind of testing to diagnose whether or not the mold in colonizing in my body.

Mold or Health complaint began with an irritating car interior

I want to clarify that my symptoms started over two years ago - when I purchased a used vehicle. The initial symptoms started about the second day I was driving the car (I bought the car in Dec.). It started with a burning/irritating throat (almost like chemical/dirt was being blown into my throat). Then it progressed to a cough, respiratory problems, shortness of breath, chest pain, muscle aches, light-headedness and so on.

Because I am no longer driving the car - doctors feel I should have gotten better. However, I stopped driving the car for several months. Then I got the car re-detailed (thinking at first it was in the detailing b/c an environmental dr mentioned that when I had a visit). I got back in the car for one month. The first 3 weeks I did not turn on the heat. The last week I turned on the heat and I got that same burning/irritating throat (which takes a while to subside). It was then that I knew my illness was coming from the car and I haven't driven it since.

My sister has been helping me diagnose and we both feel that there is mold/fungus in the AC/heating unit and is something that my body just won't tolerate. I've told every doctor I've visited - they sill feel that if I'm not driving the car anymore I should have gotten better.

I am over my head with anger and frustration!! Out of 17 doctors, not one believes that's possible. I'm a person who rarely gets sick. Any of my friends and co-workers can vouch for me. That's why when I bought that car - it was the only new thing in my life - and I know it made me sick and I have been sick ever since. Because it's the car involved - it seems like it's making it more difficult to get a diagnosis.

I live in PA - are their any mold doctors or human mold-exposure testing labs around my area that test for mold in humans? Any help you can give me is much appreciated. - Christine

Reply: Mold-related Illness Symptoms May Be Persistent

I am not a doctor and emphasize that I am only reporting on my experience as a field investigator, but it seems that while removing yourself from a mold-contaminated environment is recommended and often gives relief of symptoms and complaints, the medicine is more complex than that:

First, some mold exposures can produce ongoing, long-lasting, even permanent symptoms, for example the development of adult-onset asthma.

Second, moving out of a known mold-contaminated environment does not itself guarantee that the new environment is free of mold, allergens, indoor air quality concerns, etc.

Put another way, if on removing oneself from an environment suspected of causing or contributing to health related complaints, the complaints stop or diminish, that's very suggestive about that environment. But the converse does not hold. That is, someone suffering from apparently-building-related complaints may find that some of those complaints may persist.

A physician specializing in environmental medicine along with building inspection by a highly qualified field investigator can work together to help sort out these concerns.

Take a look at MOLD DOCTORS - ENVIRONMENTAL MEDICINE for help in finding a physician specializing in mold exposure, mold related illness, or environmental medicine.

At MOLD RELATED ILLNESS for an introduction and see MOLD RELATED ILLNESS SYMPTOMS for a complete, detailed list of health complaints associated with mold exposure. Warning: our MOLD RELATED ILLNESS SYMPTOMS list is not a medical document, has not been peer-reviewed by the medical profession, and is not in a medical sense authoritative. It does, however, collect both substantiated mold-related-illness complaints and a wide sampling of the nature and range of other complaints from people who believe or fear that mold or similar exposure has been a factor in their physical or mental health.

The Indoor Environment of Cars and Campers

About the effects of the indoor environment in an automobile: indeed we have investigated complaints of odors, smells, and mold contamination in automobiles. Keep in mind that for some individuals, particularly people who are sensitive to chemical smells and even perfumes, some plastics, vinyls, and carpets used in automobiles might, especially when new, be an irritant or a response trigger. And mold in automobiles, typically due to a leak that has wet insulation or carpeting, can be difficult to track down and clean.

At BOAT & CAR SMELLS & ODORS we discuss the car odor problem, and at CAR SMELL - Mold DEODORIZING we report on tracking down, cleaning, and removing smells from mold in cars, campers, and similar vehicles.

Follow Your Physician's Advice About Correlating Illness, Health Complaints, & the Environment

Usually the best place to start tracking down an illness is with the doctor who is your general care physician. Typically he or she will refer you to an appropriate expert based on that discussion and examination. Our OPINION is that as long as you are consulting a physician who has experience and expertise in environmental medicine, pulmonology, allergy, mold-related-illness, or similar fields, and as long as the physician took time to hear your concerns, case history, and to examine you, that person is in the best spot to answer a critical diagnostic question:

Are your health complaints ones that have been associated with environmental exposure to irritants, contaminants. If the answer is "yes" or even "sometimes" then that doctor's advice can help set the direction for inspection and testing of environments where you have spent time in buildings or automobiles.

Question: Bio-Signs Urine Test for Mycotoxins

I recently had a urine test done by a company called Bio signs, this test detects mycotoxins that may present from molds. In my case it detected a severe systemic yeast infection due to moderate exposure to a myotoxin produced from toxic black mold. This test cost almost $600.00, but to be able to go to a doctor and give them the exact exposure information and to know what is happening in my body made that investment well worth the money. I also had the peace of mind knowing that leaving the infected area was not something I could second guess anymore. It has been priceless in so many ways and knowing that it is all not in my head gives me the strength to fight to get my health back. I can not explain the turmoil I have been through as my body has rejected the exposure, hives, very high blood pressure, anxiety, liver elevation to hepatitis B, severe vision problems, constant bronchitis and pneamonia and my bowels do not function. I would encourage anyone that feels like they just have to know to take this test. I have a long road and pray that it has not done to much damage. Knowledge is power and I have been on my own crusade to explain the hasards of Mold. I am only 44 years old and I was healthy five years ago before i rented my business space and now I feel like I am double in age..Good luck and I hope this helps in your quest for health. - Nikki 10/19/11

Reply:

Nikki,

That test sounds very costly, I'd want to know more about its accuracy and how the results should be interpreted. For example, was your doctor able to confirm that a mycotoxin exposure was the cause of yeast infection? I'm no MD but certainly I've had yeast infections simply from taking antibiotics.

Equally seriously, if your doc confirms that s/he blames mycotoxin exposure for an illness, that expensive test is not diagnostic nor prescriptive about the source of your mycotoxin exposure. You'll want to determine that source and correct it. I'd start by a thorough inspection and investigation of the places where you spend the most time, most likely at home or at work. I'd also consider however, that an acute exposure to some molds and MVOCs could be a source of medical complaint even if is not chronic and therefore not in the home or office, but rather elsewhere.

Watch out: People who suspect that their illness is caused or contributed to by environmental contaminants such as indoor mold exposure should ask their primary physician for a referral to an M.D. who has expertise in environmental medicine. This step is particularly important because in our OPINION the fear and frustration that naturally plague anyone who suffers from an illness for a long time without finding successful treatment can make people vulnerable victims for a plethora of "cures" that lack medical basis, are not supported by sound research, and in some cases may be dangerous. In the medical profession there's a saying, A man who treats himself has fool for a physician. If your doctor doesn't listen to you with care and respect, or never even looks at you (maybe spending too much time looking instead a the computer) then I agree it's time to try elsewhere.

Quoting from Bennett and Kilch in Clinical Microbiology:

Human exposure to mycotoxins is further determined by environmental or biological monitoring. In environmental monitoring, mycotoxins are measured in food, air, or other samples; in biological monitoring, the presence of residues, adducts, and metabolites is assayed directly in tissues, fluids, and excreta. [1] J.W. Bennett and M. Klich

Keep us posted, as what you learn will certainly help other readers, and if you have further specific questions about our website articles I'll be glad to research and reply.

Question: Reader recommends diet & TV shows to cure mold-related illness

People should realize that antibiotics ARE mycotoxins. They are the same. Indeed, they will cause systemic fungal infection. Differentiating between systemic and digestive yeast infections are difficult; the best course of action is to treat both simultaneously. Eating a diet that starves fungus (low carb/sugar) while rotating natural antifungals (olive leaf, oregano oil, tea tree oil) along with re-alkalizing the body chemistry as well as balancing hormones and increasing immunity/replenishing healthy gut bacteria is the only way to cure fungal disease.

To the person asking about coming into contact with molds then removing yourself from the environment: it is simply not that easy. Just like people, fungi require a food source. Once they get inside of you, they are able to live off of you. They simply do not just "come from the environment"; on the contrary, they are a highly invasive species that has no regard other than it's own preservation.

If you are seeking a fungal doctor, look into shows like "Know The Cause" by Doug Kaufmann, do a search for Dr. Greg Emerson, look into products by BioActive Nutrients, NSC24, and Dr. Ohhira. This is [Glen's recommended] source for fungal information in regards to human disease.

Testing for internal fungal disease can be tricky. Fungi exhibit dimorphism, or the ability to change depending on the environment. This means a mold can be a yeast when at incubating temperatures and so forth. The best test you can do: Look at your tongue. If it has either: a thick coat of white film, or large, red bumps towards the back, you have a fungal problem. Do you have dry skin? Fungal. Acne? Fungal. IBS? Fungal. The list goes on, and on, and on until infinity. - Glen - 3/16/12

Reply: best to consult a qualified physician not TV when treating a fungal (or other) illness; not all fungi produce mycotoxins & antibiotics are not properly called mycotoxins

Thanks Glen, for the interesting comments. But your comments are not quite accurate and in some cases are dangerous.

The literature on mycotoxins and mold related illness is enormous. We include some representative, authoritative, and quite credible citations in our reply to your remarks.

Watch out: We agree that a yeast infection in the mouth can be an annoying side-effect of taking antibiotics, but it would be nothing short of stupid to refuse to take an antibiotic when necessary and as prescribed by your doctor. For example, typhoid fever, which is generally successfully treated using a strong (fluoroquinolone group) antibiotic, can otherwise be fatal in up to 30% of cases. Having to treat a yeast infection as a side effect of curing typhoid fever seems a small price to pay. While rehydration is an important component in treating typhoid, eating and drinking a healthy diet won't cure typhoid fever once it has been contracted.

And to add a bit more accuracy to Glen's comments above, there are many fungal illnesses that will not manifest as an oral yeast infection, starting at your feet with athlete's foot and including life-threatening Aspegillosis - a fungal infection of the lung.

A mycotoxin is a poison produced by a fungus. "Poison" as used here is a chemical that causes illness or death to a human or
other animal.

Comparing antibiotics to mycotoxins

The widely used antibiotic Penicillin, originally produced by two genera of the Penicillium fungus first found on an orange [2] indeed is produced by that fungus not as a gift to humans but to enable the fungus to flourish on some of its food surfaces by trying to kill off other fungi that might land there.

But in use as a medicine for humans or other animals, Penicillin is NOT a mycotoxin nor is it acting as a mycotoxin. See our
citation Bennett and Klich [1] below and our more extensive set of definitions of fungal illnesses in the article above. We also cite an enjoyable book about the history of how Penicillin was developed [2].

Choosing a diet is unlikely to cure serious fungal infections nor mold related illness

Finally, your suggestion that fungal disease in humans can be cured by diet is dangerously misleading. While we applaud eating a
healthy diet and recognize that eating properly can help one's immune system, there is absolutely no doubt that for a fungal
infection, ranging from in the sinuses to life-threatening Aspergillosis infections of the lungs, expert medical care is
absolutely necessary and may include the use of specific antibiotics that target fungal infections or in some cases may require
surgery.

A review of medical texts that enumerate the wide range of fungal infections and mold related illnesses (Mycoses) that affect humans and animals will illustrate that successful treatment, choice of medication, and other measures vary widely but none relies on diet as sufficient. [3][4][5]

Watch out: Mold-related illnesses range from the irritation of athlete's foot to life threatening aspergillosis. In short, your advice to cure mold-related illness by diet could kill someone.

...

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Technical Reviewers & References

Related Topics, found near the top of this page suggest articles closely related to this one.

  • [1] J.W. Bennett and M. Klich, "Mycotoxins", Clinical Microbiology Reviews, doi: 10.1128/CMR.16.3.497-516.2003 Clin. Microbiol. Rev. July 2003 vol. 16 no. 3 497-516 retrieved 8/12/12, original source: http://cmr.asm.org/content/16/3/497.full [copy on file as Mycotoxins.pdf]

  • [2] Eric Lax, The Mold in Dr. Florey's Coat: The Story of the Penicillin Miracle, John MacRae Books, 2004, ISBN-10: 0805067906
    ISBN-13: 978-0805067903 Quoting: The discovery of penicillin in 1928 ushered in a new age in medicine. But it took a team of Oxford scientists headed by Howard Florey and Ernst Chain four more years to develop it as the first antibiotic, and the most important family of drugs in the twentieth century. At once the world was transformed—major bacterial scourges such as blood poisoning and pneumonia, scarlet fever and diphtheria, gonorrhea and syphilis were defeated as penicillin helped to foster not only a medical revolution but a sexual one as well. In his wonderfully engaging book, acclaimed author Eric Lax tells the real story behind the discovery and why it took so long to develop the drug. He reveals the reasons why credit for penicillin was misplaced, and why this astonishing achievement garnered a Nobel Prize but no financial rewards for Alexander Fleming, Florey, and his team.

  • [3] Atlas of Clinical Fungi, 2nd Ed., GS deHoog, J Guarro, J Gene, & MJ Figueras, Centraalbureau voor Schimmelcultures, Universitat Rovira I Virgili, 2000, ISBN 90-70351-43-9 (you can buy this book at Amazon) - The Atlas of Clinical Fungi is also available on CD ROM
  • [4] Fifth Kingdom, Bryce Kendrick, ISBN13: 9781585100224, is available from the InspectAPedia online bookstore - we recommend the CD-ROM version of this book. This 3rd/edition is a compact but comprehensive encyclopedia of all things mycological. Every aspect of the fungi, from aflatoxin to zppspores, with an accessible blend of verve and wit. The 24 chapters are filled with up-to-date information of classification, yeast, lichens, spore dispersal, allergies, ecology, genetics, plant pathology, predatory fungi, biological control, mutualistic symbioses with animals and plants, fungi as food, food spoilage and mycotoxins.
  • [5] Fungi, Identifying Filamentous, A Clinical Laboratory Handbook, Guy St-Germain, Richard Summerbell, Star Publishing, 1996, ISBN 0-89863-177-7 (English) (buy at Amazon)
  • "A Brief Guide to Mold, Moisture, and Your Home", U.S. Environmental Protection Agency US EPA - includes basic advice for building owners, occupants, and mold cleanup operations. See http://www.epa.gov/mold/moldguide.htm
  • US EPA - Mold Remediation in Schools and Commercial Building [Copy on file at /sickhouse/EPA_Mold_Remediation_in_Schools.pdf ] - US EPA
  • US EPA - Una Breva Guia a Moho - Hongo [Copy on file as /sickhouse/EPA_Moho_Guia_sp.pdf - en Espanol
  • Clinical Mold References - Detailed bibliography of mold reference texts
  • [10] "Blastomycosis", entry in The Free Medical Dictionary, retrieved 8/12/12 original source: http://medical-dictionary.thefreedictionary.com/blastomycosis
  • [11] "Athlete's Foot", Mayo Clinic, retrieved :8/12/12 original source: http://www.mayoclinic.com/health/athletes-foot/DS00317
  • [12] "Histoplasmosis", Mayo Clinic, retrieved :8/12/12 original source: http://www.mayoclinic.com/health/histoplasmosis/DS00517
  • [13] "Cryptococcus", U.S. Centers for Disease Control (CDC), retrieved :8/12/12 original source: http://www.cdc.gov/healthypets/diseases/crptococcus.htm

Books & Articles on Building & Environmental Inspection, Testing, Diagnosis, & Repair

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  • Environmental Health & Investigation Bibliography - our technical library on indoor air quality inspection, testing, laboratory procedures, forensic microscopy, etc.
  • Adkins and Adkins Dictionary of Roman Religion discusses Robigus, the Roman god of crop protection and the legendary progenitor of wheat rust fungus.
  • Kansas State University, department of plant pathology, extension plant pathology web page on wheat rust fungus: see http://www.oznet.ksu.edu/path-ext/factSheets/Wheat/Wheat%20Leaf%20Rust.asp
  • Atlas of Mold Related Illness: Index of Symptoms and health, physical, neurological, psychological, and other complaint which people suspect may be mold or building-related.
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  • "A Brief Guide to Mold, Moisture, and Your Home", U.S. Environmental Protection Agency US EPA - includes basic advice for building owners, occupants, and mold cleanup operations. See http://www.epa.gov/mold/moldguide.htm
  • "Disease Prevention Program for Certain Vegetable Crops," David B. Langston, Jr., Extension Plant Pathologist - Vegetables, University of Georgia (PDF document) original source: www.reeis.usda.gov/web/crisprojectpages/209797.html
  • "Disease Prevention in Home Vegetable Gardens," Patricia Donald, Department of Plant Microbiology and Pathology, Lewis Jett
    Department of Horticulture, University of Missouri Extension - extension.missouri.edu/publications/DisplayPub.aspx?P=G6202
  • "Management of Powdery Mildew, Leveillula taurica, in Greenhouse Peppers," Ministry of Agriculture and Lands, British Columbia - Original source: www.agf.gov.bc.ca/cropprot/peppermildew.htm
  • Environmental Health & Investigation Bibliography - our own technical library on indoor air quality inspection, testing, laboratory procedures, forensic microscopy, etc.
  • Fiberglass: Mold in Fiberglass Insulation© 2005 comments about a field study in process, & more about health hazards from fiberglass insulation - DJF
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  • MOLD APPEARANCE - WHAT MOLD LOOKS LIKE Photos of what mold looks like in buildings
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  • MOLD ATLAS & PARTICLES INDEX, Pathogens, Allergens and Other Indoor Particles - Medical Health Effects of Mold (separate online document)
  • MOLD BY MICROSCOPE Mold under the microscope - photo identification of the most common indoor molds found in buildings
  • Mold FAQs Answers to Most Questions about Indoor Mold, Mold Related Illness, Mold Cleanup, Mold Prevention
  • US EPA: Mold Remediation in Schools and Commercial Building [Copy on file at /sickhouse/EPA_Mold_Remediation_in_Schools.pdf ] - US EPA
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  • Mold Test Kits - How to Collect and Send Your Own Mold Sample to our mold testing lab or to any mold lab you wish
  • Most Common Indoor Molds Found in Buildings, A Table of
  • Mycology, Fundamentals of Diagnostic, Fran Fisher, Norma B. Cook, W.B. Saunders Co. 1998, ISBN 0-7216-5006-6 (buy this book at Amazon)
  • Ozone Warnings - Use of Ozone as a "mold" remedy is ineffective and may be dangerous.
  • Rot concerns in buildings-some building mold such as Meruliporia incrassata "Poria" risks serious rot and hidden structural damage
  • ...

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