
The mold Alternaria is a well recognized plant
disease causing agent. Alternaria is cosmopolitan and
ubiquitous in nature. It is currently comprised of about
40-50 species. Species of Alternaria are commonly
isolated from plants, soil, food, and indoor air.
Alternaria alternata has been isolated from numerous
kinds of organic materials in damp situations, including
textiles, stored food, canvas, cardboard and paper, electric
cables, polyurethane, jet fuel, sewage and effluents.
Airborne spores of Alternaria alternata and
Alternaria tenuissima are found in very high numbers
in the outdoor environment during summer. The presence of
Alternaria together with other molds such as Ulocladium spp, Stachybotrys spp, Fusarium spp and Phoma spp, in indoor environment is
indicative of humid conditions.
Alternaria alternata is not commonly isolated from
indoor building materials and in most instances spores found
in indoor air environment may have originated from outdoor
sources. A closely related mold, Ulocladium chartarum,
which is very common in indoor environments is frequently
misidentified as Alternaria alternata. Ulocladium
chartarum is common on wallpaper and drywall, and has
been isolated from emulsion paint, polyurethane, plywood and
manila fibre. Alternaria alternata shows significant
morphological variation and is believed to be a species
complex meaning that it is an amalgam of closely related
strains rather than a single homogeneous species.
Alternaria alternata is recognized as an important
allergen with airborne spores and mycelial fragments being
responsible for the allergic symptoms in individuals with
rhinitis or bronchial asthma. Alternaria sensitivity
can also lead to severe and potentially fatal asthma. Studies
have shown that up to 70 % of mold-allergic patients have
skin test reactivity to Alternaria. It has also been
shown that prolonged heavy exposure to Alternaria
alternata spores and mycelial fragments mimics that of
other allergens such as cat dander and dust mites. It has
also been recorded as an opportunistic pathogen causing skin
diseases particularly in immunocompromised patients such as
the bone marrow transplant patients.
Note: The presence of Stachybotrys, Chaetomium, Trichoderma, Aureobasidium and also
actinomycetes and other bacteria in an indoor environment is
generally indicative of wet conditions, not just high
humidity or condensation on indoor surfaces.