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A cluster of cases of pulmonary hemosiderosis among infants was reported in Cleveland, Ohio, during 1993 and 1994. These unusual cases appeared only in infants ranging in age from 1 to 8 months and were characterized by pulmonary hemorrhage, which caused the babies to cough up blood. A case-control study identified major home water damage (from plumbing leaks, roof leaks, or flooding) as a risk factor for development of pulmonary hemorrhage in these infants. Because of an interest in the possibility that trichothecene mycotoxins might be involved in this illness, a number of isolates ofStachybotrys chartarum were grown in the laboratory on rice, and extracts were prepared and analyzed both for cytotoxicity and for specific toxins. Two isolates ofMemnoniella echinata , a fungus closely related toS. chartarum , were also included in these studies.S. chartarum isolates collected from the homes were shown to produce a number of highly toxic compounds, and the profiles of toxic compounds fromM. echinata were similar; the most notable difference was the fact that the principal metabolites produced byM. echinata were griseofulvins.

applied and environmental microbiology

Study of Toxin Production by Isolates of <i>Stachybotrys chartarum</i> and <i>Memnoniella echinata</i> Isolated during a Study of Pulmonary Hemosiderosis in Infants

Study of Toxin Production by Isolates of Stachybotrys chartarum and Memnoniella echinata Isolated during a Study of Pulmonary Hemosiderosis in Infants