Invading organisms such as bacteria produce toxins that damage host tissues and interfere with normal metabolism; some toxins are actually enzymes that, by breaking down host tissues, prevent the localization of infections. Other bacterial substances destroy the host's phagocytes. Viruses and retroviruses are parasitic on host cells, causing cellular degeneration, as in rabies, poliomyelitis, and AIDS, or cellular proliferation, as in warts and cold sores. Some viruses have been associated with the development of certain cancers. Substances produced by many invading organisms cause allergic sensitivity in the host; the immune response to virus infection has been implicated in some diseases (see allergy).
Infections may be spread via respiratory droplets, direct contact, contaminated food, or vectors, such as insects. They can also be transmitted sexually (see sexually transmitted diseases) and from mother to fetus. Immunity is the term used to describe the capacity of the host to respond to infection. Drugs that help fight infections include antibiotics and antiviral drugs.
See also specific diseases, diseases of plants.
See J. Waller, The Discovery of the Germ (2003).
Many fungal infections, or mycoses, of humans and animals affect only the outer layers of skin, and although they are sometimes difficult to cure, they are not considered dangerous. Athlete's foot and ringworm are among the common superficial fungal infections. Fungal infections of the mucous membranes are caused primarily by Candida albicans (see candidiasis). It usually affects the mouth (see thrush) and the vaginal and anal regions.
The fungi that affect the deeper layers of skin and internal organs are capable of causing serious, often fatal illness. Sporotrichosis is an infection of farmers, horticulturists, and others who come into contact with plants or mud. The disease affects the skin and lymphatic system and, in rare cases, becomes disseminated. Blastomycosis is caused by a yeastlike fungus that reproduces by budding. The North American variety, caused by Blastomycosis dermatitidis, occurs more often in men and seems to be limited to the central and E United States and Canada. Wartlike lesions appear most often on the skin, sometimes spreading to the bones and other organs. The South American variety of blastomycosis is caused by B. brasiliensis. Chytridiomycosis, caused by Batrachochytrium dendrobatidis, is a deadly fungal skin infection in amphibians, which it kills by damaging to the animals' normally permeable skin, thus disrupting the transport of air and moisture.
Among the fungi that infect the deeper tissues is Coccidioides immitis, which causes coccidioidomycosis, sometimes called valley fever, a lung infection that is prevalent in the SW United States. Cryptococcosis is another fungus disease that may be localized in the lung or disseminated, especially to the central nervous system. It has a worldwide distribution, affecting men twice as often as women. The causative agent (Cryptococcus neoformans) has been isolated in pigeon excretions. Histoplasmosis, which is caused by spores of the fungal genus Histoplasma, is a severe infection that shows varied symptoms. In acute cases ulcers of the pharynx and enlargement of the liver and spleen are present. In other forms tubercularlike lesions of the lung occur. In its benign form no symptoms may be present.
Fungal infections sometimes follow the use of antibiotics, which kill nonpathogenic as well as pathogenic bacteria, thereby providing a free field in the body for fungal invasion. Opportunistic fungal infection occurs when a fungus enters a compromised host, as in the case of such diseases as AIDS. Treatment for fungal infections includes systemic antifungal agents, such as amphotericin B, fluconazole, and itraconazole, and agents usually used topically, such as clotrimazole (Lotrimin) and miconazole (Monistat).
Serious damage is done to crops each year by fungal infections of plants such as smuts, rusts, ergots, and mildews. Dutch elm disease, a disease that has seriously depleted the number of elm trees in the United States, is caused by the fungus Ceratostomella ulmi. Such diseases are usually fought with fungicides or by developing resistant plants. See also diseases of plants.
Invasion of the body by various agents—including bacteria, fungi (see fungus), protozoans, viruses, and worms—and its reaction to them or their toxins. Infections are called subclinical until they perceptibly affect health, when they become infectious diseases. Infection can be local (e.g., an abscess), confined to one body system (e.g., pneumonia in the lungs), or generalized (e.g., septicemia). Infectious agents can enter the body by inhalation, ingestion, sexual transmission, passage to a fetus during pregnancy or birth, wound contamination, or animal or insect bites. The body responds with an attack on the invader by leukocytes, production of antibodies or antitoxins, and often a rise in temperature. The antibodies may result in short-term or lifelong immunity. Despite significant progress in preventing and treating infectious diseases, they remain a major cause of illness and death, particularly in regions of poor sanitation, poor nutrition, and crowding.
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