Aspergillosis Etiology Aspergillus is a ubiquitous environmental mold that grows in organic matter in the soil. The organism grows as a soil mycelium (filamentous form) and forms aerial hyphal stalks. The conidia (spores) are about 2 to 10 micrometers in diameter. They are formed at the tips of the stalks (conidiophores) by asexual reproduction. Their hydrophobic nature aids in aerosolization.Humans routinely inhale the aerosolized conidia. The conidia are promptly eliminated from the respiratory tract, or may lead to colonization or infection dependent on the underlying local and general immune status of the host. Approximately 34 of 180 Aspergillus species are known to cause disease in humans. Aspergillus fumigatus is the most common pathogenic species, accounting for 50% to 70% of the aspergillosis syndromes. Increasingly, however, aspergillosis is caused by nonfumigatus species, including A flavus, A terreus, A niger, and A versicolor. A niger is less pathogenic, perhaps due t...
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