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Research Article
 Jack Dwayne Thrasher,1 Michael R. Gray,2 Kaye H. Kilburn,3, 4
 Donald P. Dennis, and Archie Yu6
   1Citrus Heights, CA, USA
   2 Progressive Healthcare Group, Benson, AZ 85602, USA
   3Neurotest, Inc., Pasadena, CA 91107, USA
   4USC Keck School of Medicine, Los Angeles, CA 90089, USA
    5Center for ENT and Facial Plastic Surgery, Atlanta, GA 30327, USA
  6Compliance Solution, Honolulu, HI 96823, USA
 Correspondence should be addressed to Jack Dwayne Thrasher, toxicologist1@msn.com
 Received 16 July 2011; Accepted 4 September 2011
 Academic Editor: Janette Hope
 Copyright © 2012 Jack Dwayne Thrasher et al. This is an open access article distributed under the Creative Commons Attribution
 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
 Cited.
   A family of five and pet dog who rented a water-damaged home and developed multiple health problems. The home was   analyzed for species of mold and bacteria. The diagnostics included MRI for chronic sinusitis with ENT and sinus surgery, and  neurological testing for neurocognitive deficits. Bulk samples from the home, tissue from the sinuses, urine, nasal secretions placenta, umbilical cord, and breast milk were tested for the presence of trichothecenes, aflatoxins, and Ochratoxin A. The family
had the following diagnosed conditions: chronic sinusitis, neurological deficits, coughing with wheeze, nose bleeds, and fatigue  among other symptoms. An infant was born with a total body flare, developed multiple Cafe-au-Lait pigmented skin spots and   diagnoses with NF1 at age 2. The mycotoxins were detected in bulk samples, urine and nasal secretions, breast milk, placenta, and   umbilical cord. Pseudomonas aueroginosa, Acinetobacter, Penicillium, and Aspergillus fumigatus were cultured from nasal secretions   (father and daughter). RT-PCR revealed A. fumigatus DNA in sinus tissues of the daughter. The dog had 72 skin lesions (sebaceous  glands and lipomas) from which trichothecenes and ochratoxin A. were detected. The health of the family is discussed in relation to   the most recent published literature regarding microbial contamination and toxic by-products present in water-damaged buildings.

Conclusion: Mycotoxins testing demonstrated that ochratoxin A was the predominant mycotoxin in samples of urine, nasal secretions, breast milk, placenta, and umbilical cord. Lesser concentrations of macrocyclic trichothecenes were also detected. A newborn girl had a total body flare and had
Cafe-au-Lait pigmentation spots. The infant is scheduled for further evaluation for her NF1 condition. This case study indicates that mold and bacteria and by-products in water damaged homes are most likely the cause of the adverse health conditions of these occupants.

Click on link below for a copy of the full manuscript:

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3246741/?tool=pubmed
Contact Information

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Email:  toxicologist 1@msn.com