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Published on: March 17, 2014
[Some pathogenetic mechanisms of bacterial bronchial asthma in paecilomycosis]
Abstract:
2-week to 18 year follow-up data are analysed for 190 patients aged 3 to 70 years (91 females and 99 males) with bronchial asthma in Paecilomyses infection. Paecilomyces fungi play the role of a specific agent responsible for development of bacterial asthma. The bronchial spasm was provoked, on the one side, by hypersensitivity with participation of IgE defending the organism from the fulgi persisting in the blood and pulmonary tissue, on the other side, by biologically active substances produced by fungal cells, exogenic phospholipase A2, in particular. Clinical characteristics, course and outcome of bacterial asthma in Paecilomyces infection depend on the resistance of immune system to hematogenic fungal infection and immune reactions running in elimination of the agent.
Insights
Paecilomyces fungi can cause bacterial asthma by triggering IgE-mediated hypersensitivity and releasing phospholipase A2. Immune system resistance influences the clinical course and outcomes of this fungal infection.
Area of Science:
- Mycology
- Immunology
- Pulmonology
Context:
- Bronchial asthma is a chronic respiratory condition.
- Fungal infections can exacerbate or trigger asthma symptoms.
- Paecilomyces species are increasingly recognized as potential pathogens.
Purpose:
- To investigate the role of Paecilomyces fungi in the development of bacterial asthma.
- To analyze the immunological mechanisms involved in Paecilomyces-induced asthma.
- To evaluate the clinical characteristics, course, and outcomes of bacterial asthma in patients with Paecilomyces infection.
Summary:
- A study analyzed 190 patients (3-70 years) with bronchial asthma and Paecilomyces infection over a 2-week to 18-year follow-up.
- Paecilomyces fungi act as a specific agent causing bacterial asthma, involving IgE-mediated hypersensitivity and phospholipase A2.
- Asthma outcomes depend on the host's immune resistance to hematogenic fungal infection and agent elimination.
Impact:
- Highlights Paecilomyces as a specific cause of bacterial asthma.
- Elucidates the immunological pathways (IgE, phospholipase A2) in fungal-induced asthma.
- Emphasizes the importance of immune status in managing fungal asthma complications.
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