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Table 2 Medical conditions associated with fungal and bacterial exposure during unusual indoor exposure

From: Review of health hazards and prevention measures for response and recovery workers and volunteers after natural disasters, flooding, and water damage: mold and dampness

Organ system/pathway

Clinical effect

Exposure/agents

Upper airways: nose, sinuses, throat

Rhinitis, sinusitis, laryngitis

Fungi, allergens, irritants, MVOCs, particles

Lower airways: lung with bronchial system and alveoli

Bronchitis, asthma, bronchiolitis, allergic bronchopulmonary aspergillosis (ABPA), allergic extrinsic alveolitis (also known as hypersensitivity pneumonitis), toxic alveolitis, pneumonitis

Fungi, allergens, fungal by-products, fine particles

Combined upper and lower airway

Aspergillosis; fungal rhino-sinusitis

Fungi, fine particles, fungal irritants, allergens

Skin and mucous membranes

Urticaria, dermatitis (allergic or irritant type), conjunctivitis

Fungal irritants, allergens

Other organs: central nervous system, immune system, liver, kidney, endocrine system

Cognitive and psychiatric disorders; hepatitis, nephritis, thyroid, menses disorders (under investigation, anecdotal; commonly found in combination with other symptoms and disorders listed)

Fungi, organic dusts, microbial by-products, mycotoxins