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Mushrooms penetrate into the blood vessels, which leads to the development of blood clots and heart attacks of surrounding tissues, or develop in cavity formations (paranasal sinuses, pulmonary caverns and bronchiectasis).
Aspergillus locally affects the nose and paranasal sinuses, external auditory canal, eyes, skin and nails.

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Dissemination (spread of fungi with blood) affects the heart, central nervous system, gastrointestinal tract, liver, spleen, kidneys, bones, lymph nodes and liver.

Allergic bronchopulmonary aspergillosis develops in individuals with IgE-mediated atopy (type I hypersensitivity) to fungal spores, pulmonary diseases such as cystic fibrosis and bronchial asthma. Rice. 1. From left to right: colonies of accutane pills, A. flavus and A. niger are the main types of Aspergillus mold fungi pathogenic to humans. How does aspergillosis develop?

In many countries of the world, in recent years, there has been an increase in mycoses of internal organs, in particular, bronchopulmonary aspergillosis. The most common causative agent in humans is Aspergillus fumigatus. Aspergillus actively destroy the tissues of the human body, animals and birds, as well as various materials and substrates of the external environment. They penetrate into the human body most often by inhalation, less often - with food. Mushrooms can affect the skin in places of isotretionoin wounds, surgical interventions and injuries. Symptoms of the disease depend on the degree of damage to a particular organ.


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Aspergillus spores contain allergens, which leads to the development of an allergic form of the disease. Mushroom toxins cause severe poisoning - mycotoxicosis. Allergic and toxic components can be combined.

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The disease has different forms of manifestation, which is associated with the state of the patient's immune status.

In persons with normal immunity, the disease may be asymptomatic in the form of carriage. In weakened individuals, the disease is severe with pronounced symptoms. Pulmonary aspergillosis is most often recorded, less often aspergillus colonizes the ear canal, nasal mucosa and paranasal sinuses. Disseminated Foremycosis are observed in 30% of cases, skin lesions - in 5% of Accutane .
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There are local, disseminated and septic forms of the disease.

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Non-invasive aspergillosis is manifested by the development of aspergilloma in the lung cavities (caverns, abscesses, bronchiectasis), paranasal sinuses, or the appearance of allergic reactions.

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With aspergilloma in the lung cavities, fungi multiply in decaying dead tissues and do not germinate the walls of the cavities. The mass of mycelium is a spherical formation.

Individuals with IgE-mediated atopy (type I hypersensitivity) to fungal spores develop allergic bronchopulmonary aspergillosis, often in patients with bronchial asthma and cystic fibrosis. Hyphae of the fungus grow in the bronchi.

Mucus plugs formed during the disease lead to the formation of extensive areas of bronchiectasis. The lung tissue is not affected by the pathological process. Symptoms of the disease are mild.

accutane (invasion - invasion, invasion) aspergillosis develops with a deep suppression of the patient's immune system. Depending on the degree of decrease in immunity, the disease proceeds acutely, subacutely or has a chronic course.

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Among all forms of invasive aspergillosis, 90% of lesions occur in the lungs. At the same time, the hyphae of the fungus germinate the bronchial wall, lung tissue and blood vessels, forming foci of necrotic inflammation - necrotic pneumonia, mycotic abscesses and chronic granulomas, complicated by bleeding and pneumothorax. The disease is severe. Symptoms are pronounced.

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In 30% of patients, fungi penetrate into the vascular bed, causing embolism of the vessels of the skin, mesentery, heart, kidneys, liver, endocardium, thyroid gland and other organs, where specific granulomas are formed that are prone to abscess formation.

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Occlusion of cerebral vessels often results in cerebral infarction. The defeat of the central nervous system in 50 - 90% of cases ends in the death of patients. Rice. 2. Mycelium and fruiting organs of mushrooms under a microscope.

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Histological preparation. Aspergillus hyphae in lung tissue under a microscope (left photo) and fruiting organs (right photo).

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