The phytoremediation of indoor air pollution: a review on the technology development from the potted plant through to functional green wall biofilters

Poor indoor air quality is a health problem of escalating magnitude, as communities become increasingly urbanised and people’s behaviours change, lending to lives spent almost exclusively in indoor environments. The accumulation of, and continued exposure to, indoor air pollution has been shown to result in detrimental health outcomes. Particulate matter penetrating into the building, volatile organic compounds (VOCs) outgassing from synthetic materials and carbon dioxide from human respiration are the main contributors to these indoor air quality concerns. Whilst a range of physiochemical methods have been developed to remove contaminants from indoor air, all methods have high maintenance costs. Despite many years of study and substantial market demand, a well evidenced procedure for indoor air bioremediation for all applications is yet to be developed. This review presents the main aspects of using horticultural biotechnological tools for improving indoor air quality, and explores the history of the technology, from the humble potted plant through to active botanical biofiltration. Regarding the procedure of air purification by potted plants, many researchers and decades of work have confirmed that the plants remove CO₂ through photosynthesis, degrade VOCs through the metabolic action of rhizospheric microbes, and can sequester particulate matter through a range of physical mechanisms. These benefits notwithstanding, there are practical barriers reducing the value of potted plants as standalone air cleaning devices. Recent technological advancements have led to the development of active botanical biofilters, or functional green walls, which are becoming increasingly efficient and have the potential for the functional mitigation of indoor air pollutant concentrations.     

A survey of the aeromycota of Sydney and its correspondence with environmental conditions: grass as a component of urban forestry could be a major determinant

A comprehensive survey of airborne fungi has been lacking for the Sydney region. This study determined the diversity and abundance of outdoor airborne fungal concentrations in urban Sydney. Monthly air samples were taken from 11 sites in central Sydney, and culturable fungi identified and quantified. The genus Cladosporium was the most frequently isolated fungal genus, with a frequency of 78 % and a mean density of 335 CFU m^?3. The next most frequently encountered genus was Alternaria, occurring in 53 % of samples with a mean of 124 CFU m^?3. Other frequently identified fungi, in decreasing occurrence, were as follows: Penicillium, Fusarium, Epicoccum, Phoma, Acremonium and Aureobasidium. Additionally, seasonal and spatial trends of airborne fungi were assessed, with increases in total culturable fungal concentrations experienced in the summer months. The correspondence between a range of key environmental variables and the phenology of airborne fungal propagules was also examined, with temperature, wind speed and proximal greenspace having the largest influence on fungal propagule density. If the greenspace was comprised of grass, stronger associations with fungal behaviour were observed.     

Fournier Gangrene Caused by <Emphasis Type="Italic">Candida albicans</Emphasis> in an Infant After Cardiac Surgery

Fournier gangrene is a rare, rapidly progressive, life-threatening condition. We report a 23-day-old boy with pulmonary atresia and ventricular septal defect treated surgically, who developed Fournier gangrene. Emergency surgery was performed with tissue sampling for microbiological examination. Candida albicans was confirmed; caspofungin followed by fluconazole was administered with excellent results.     

Do indoor plants contribute to the aeromycota in city buildings?

Many studies have focused on the sources of fungal contamination in indoor spaces. Pathogenic fungi have been detected in the potting mix of indoor plants; however, it is unclear if plants in indoor work spaces make qualitative or quantitative contributions to the aeromycota within buildings. The current work represents a field study to determine, under realistic office conditions, whether indoor plants make a contribution to the airborne aeromycota. Fifty-five offices, within two buildings in Sydney’s central business district, were studied over two seasonal periods: autumn and spring. We found that indoor plant presence made no significant difference to either indoor mould spore counts or their species composition. No seasonal differences occurred between autumn and spring samples. Indoor spore loads were significantly lower than outdoor levels, demonstrating the efficiency of the heating, ventilation and air conditioning systems in the buildings sampled. Neither the number of plants nor the species of plant used had an influence on spore loads; however, variations of those two variables offer potential for further studies. We conclude that conservative numbers of indoor plants make no substantial contribution to building occupants exposure to fungi.     

Hyperthyroidism Secondary to Disseminated Mucormycosis in a Child with Acute Lymphoblastic Leukemia: Case Report and a Review of Published Reports

Thyroiditis due to fungal infection is an extremely rare cause of hyperthyroidism. The most common etiological factor of thyroiditis is Aspergillus. Infections due to members of the Mucorales have been an increasing clinical problem in recent years, and the prognosis in generalized infections due to those fungi is usually very poor. No hyperthyroidism in a child with thyroiditis due to mucormycosis has been reported in the literature so far. We describe a clinical course of generalized mucormycosis with thyroid involvement in a 12-year-old girl treated for acute lymphoblastic leukemia. The child underwent a hyperthyroidism connected with thyroid involvement due to a fungal process. The diagnosis was based on the clinical signs, laboratory findings and typical ultrasound scan; however, later attempt to amplify the fungi DNA from the tissue block has failed. The child died because of multiorgan failure due to general fungal infection 49 days after the invasive fungal infection was diagnosed. The generalized mucormycosis is always connected with poor prognosis and the mortality is high.     

Isavuconazole in a Successful Combination Treatment of Disseminated Mucormycosis in a Child with Acute Lymphoblastic Leukaemia and Generalized Haemochromatosis: A Case Report and Review of the Literature

Invasive mucormycosis in immunocompromised children is a life-threatening fungal infection. We report a case of a 7-year-old girl treated for acute lymphoblastic leukaemia complicated by disseminated mucormycosis during induction therapy. Microscopic examination of surgically removed lung tissue revealed wide, pauci-septate hyphae suggesting a Mucorales infection. This diagnosis was confirmed immunohistochemically and by PCR analysis followed by a final identification of Cunninghamella sp. The patient was treated successfully with surgical debridement and antifungal combination therapy with amphotericin B, caspofungin and isavuconazole. The use of isavuconazole in a child was not previously reported. Additionally, case reports concerning pulmonary mucormycoses in paediatric population published after 2010 were reviewed. Nineteen out of 26 identified patients suffered from haematological diseases. Reported mortality reached 38.5%. By the fact of rising morbidity, unsatisfactory results of treatment and remaining high mortality of mucormycoses in immunocompromised patients, new therapeutic options are warrant. Isavuconazole, with its broad-spectrum activity, good safety profile and favourable pharmacokinetics, is a promising drug. However, further studies are necessary to confirm positive impact of isavuconazole on mucormycosis treatment in children.