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aspergillus clavatus mold fungi illustration aspergillosis infection pulmonary moldy microbiology toxic immunocompromised toxin hyphae mycotoxin allergy growth allergic asthma carcinogen aflatoxin disease complication fungus pneumonia medicine illness medical covid19 morphology structure vesicle inflammation fungal conidia 3d phialide conidium uniseriate endocarditis otomycosis external ear canal otitis lung syndrome mould isolated black background