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Diagnosis, Treatment, and Prevention of Mycotoxicoses

Mycotoxicosis

For medical students2 min readUpdated 2026-10-10

Mycotoxicoses are a group of diseases caused by the ingestion of toxic metabolites produced by molds. Successful management relies on strict sanitary control of food supplies, timely laboratory diagnostics, and emergency detoxification therapy.

Diagnostic EssenceDetection of the fungi themselves or their specific metabolites (toxins).
Sample PreparationExtraction of mycotoxins from the test material using organic solvents.
Treatment ApproachExclusively symptomatic therapy and active bodily detoxification.
Prevention GoalComplete and absolute absence of mycotoxins in feed and food products.

Microbiological Diagnostics: Test Objects and Stages

The diagnosis of mycotoxicoses is based on the indication of mold fungi or the detection of their metabolic products—mycotoxins.

In laboratory practice, specialists collect the following as test materials:

The laboratory testing process is strictly regulated and divided into two key stages. The first stage involves the extraction of the mycotoxin from the collected sample using organic solvents. Following successful extraction, the second stage begins: the direct identification of the isolated toxin using specialized methods.

Methods for Mycotoxin Identification

After extracting the toxin from the substrate, its nature must be accurately determined. A complex of laboratory methods is used for this, divided into three major groups:

  1. Physicochemical methods. These form the basis of instrumental detection and include various modifications of chromatography and spectrophotometry.
  2. Biological methods (bioassays). This approach evaluates the toxicity of the isolated material using living test objects, such as:
  3. Chicken embryos.
  4. Isolated cell cultures.
  5. Laboratory animals (mice, rats, guinea pigs).
  6. Birds (most commonly ducklings and pigeons).
  7. Sensitive microorganism strains.
  8. Immunological methods. Based on specific antigen-antibody reactions, this group includes radioimmunoassay (RIA) and the widely used enzyme-linked immunosorbent assay (ELISA).

Principles of Treatment in Mycotoxicoses

Therapeutic measures for poisoning by fungal metabolites have clear clinical boundaries. Notably, treatment is exclusively symptomatic.

The main focus of therapy is immediate detoxification of the body. To rapidly remove toxic substances from the digestive tract and systemic circulation, the following procedures are performed:

Prevention and Sanitary Control

Preventing the development of mycotoxicoses is significantly easier than treating their consequences. Primary prevention serves as the foundation of safety, aiming to prevent the initial contamination of food and feed with mold spores, as well as to inhibit their growth and toxin production.

The second critical level of defense is strict sanitary control, which includes:

The global target indicator for all preventive measures is ensuring the complete absence of mycotoxins in human food and animal feed.

Mnemonic

To quickly remember the identification methods, use the mnemonic PIA: Physicochemical, Immunological, Assays (biological bioassays).

Frequently asked questions

Which mold genera are the primary producers of mycotoxins?

The primary mycotoxin producers are microscopic fungi of the genera Aspergillus, Penicillium, Fusarium, and Claviceps.

  • Genus Aspergillus — produces aflatoxins; various Aspergillus species also produce ochratoxins, patulin, gliotoxin, sterigmatocystin, tremorgens, cytochalasins, and citrinin.
  • Genus Penicillium (P. citreoviridae, P. islandicum) — associated with mycotoxicoses from consuming "yellow rice".
  • Genus Fusarium (F. sporotrichiella, F. graminearum) — causes mycotoxicoses such as alimentary toxic aleukia and "drunken bread" syndrome.
  • Species Claviceps purpurea — parasitizes rye and produces toxic ergot alkaloids: ergotamine, ergotoxin, and ergometrine.
What clinical symptoms and syndromes are characteristic of acute mycotoxicoses?

Clinical manifestations depend on the specific form:

  • Ergotism — presents in convulsive and gangrenous forms; ergot alkaloids cause hallucinogenic effects and damage the vasculature of the lower extremities.
  • Alimentary toxic aleukia — associated with consuming bread made from overwintered grain in the field infected with Fusarium fungi; initially causes severe hematopoietic suppression, followed by an acute septic state with toxic angina and skin hemorrhages.
  • "Drunken bread" poisoning — accompanied by central nervous system depression and motor incoordination; euphoria, laughter, singing, and excitation are described, followed by depression and exhaustion.
  • Aflatoxins — exhibit marked hepatotoxicity and carcinogenicity, causing gastrointestinal tumors.
Is etiotropic therapy used for mycotoxicoses?

No, therapy is exclusively symptomatic. The main goal for clinicians is to perform detoxification (gastric lavage, bowel cleansing) and eliminate the symptoms of damage.

What test objects are used for bioassays?

Biological identification methods use chicken embryos, cell cultures, laboratory rodents (mice, rats, guinea pigs), birds (ducklings, pigeons), and sensitive microorganisms.

Why are organic solvents needed in diagnostics?

Organic solvents are required during the first stage of laboratory testing to extract mycotoxins from feed, food, or raw material samples for subsequent analysis.

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