First cases of Acanthamoeba keratitis in Slovakia

• Autorzy: Ondriska F. , Mrva M. , Lichvar M. , Ziak P. , Murgasova Z. , Nohynkova E.
• Języki publikacji: EN

Abstrakty

EN

We present the case report of the first identification of Acanthamoeba as a causative agent of keratitis in the Slovak Republic. For the first time, Acanthamoeba sp. Group III was isolated from a 53-year-old patient with keratitis, which was manifested after an injury of the right eye. A delayed visit to a physician as well as a late diagnosis of the illness led to the advanced stage of eye disease. As the treatment with itraconazol and cornea transplantation showed no result, enucleation of the eye was decided. Acanthamoeba ludgunensis was also the causative agent of keratitis in a 39-year-old patient wearing contact lenses. His complaints occurred a month after bathing in a thermal swimming pool. The symptoms presented in the left eye were those of herpetic keratitis, and led to a cloudy cornea with circular infliltrate and poor vision. A prompt clinical and laboratory diagnosis, along with treatment with propamidine-isetionate resulted in a significant improvement of the eye condition. Contact lenses were probably related to another case of Acanthamoeba keratitis. The patient, a 15-year-old girl, kept wearing contact lenses during bathing in various swimming pools and in the sea; her contact lenses were also regularly washed under tap water. Due to the fact that cysts of Acanthamoeba sp. group II were found in the contact lens solution, this is presumed to be the source of the eye infection.

Słowa kluczowe

EN

Acanthamoeba; cornea; thermal pool; cyst; Slovak Republic; amoeba; keratitis; lens; identification

• Wydawca: -
• Czasopismo: Annals of Agricultural and Environmental Medicine
• Rocznik: 2004
• Tom: 11
• Numer: 2
• Opis fizyczny: p.335-341,fig.,ref.

Twórcy

autor

Ondriska F.

• Microbiological Laboratory, Istrijska 20, 841 07 Bratyslava, Slovak Republic

autor

Mrva M.

autor

Lichvar M.

autor

Ziak P.

autor

Murgasova Z.

autor

Nohynkova E.

Bibliografia

• 1. Aitken D, Hay J, Kinnear FB, Kirkness CM, Lee WR, Seal DV: Amebic keratitis in a wearer of disposable contact lenses due to a mixed Vahlkampfia and Hartmannella infection. Ophthalmology 1996, 103, 485-94.
• 2. Bacon AS, Dart JK, Ficker LA, Matheson MM, Wright, P: Acanthamoeba keratitis. The value of early diagnosis. Ophthalmology 1993, 100, 1238-1243.
• 3. Bacon AS, Frazer DG, Dart JK, Matheson M, Ficker LA, Wright P: A review of 72 consecutive cases of Acanthamoeba keratitis, 1984-1992. Eye 1993, 7, 719-725.
• 4. Badenoch PR, Adams M, Coster DJ: Corneal virulence, cytopathic effect on human keratocytes and genetic characterization of Acanthamoeba. Int J Parasitol 1995, 25, 229-239.
• 5. Baum J, Barza M: Infections of the Eye. In: Gorbach SL, Bartlett JG, Blacklow NR (Eds): Infectious diseases, 1355-1373. WB Saunders Company, Philadelphia 1998.
• 6. Beattie TK, Seal DV, Tomlinson A, McFadyen AK, Grimason AM: Determination of amoebicidal activities of multipurpose contact lens solutions by using a most probable number enumeration technique. J Clin Microbiol 2003, 41, 2992-3000.
• 7. Bennet HGB, Hay J, Kirkness CM, Seal DV, Devonshire P: Antimicrobial management of presumed microbial keratitis: guidelines for treatment of central and peripheral ulcers. Br J Ophthalmol 1998, 82, 137-145.
• 8. Booton GC, Kelly DJ, Chu YW, Seal DV, Houang E, Lam DSC, Byers TJ, Fuerst PA: 18S ribosomal DNA typing and tracking of Acanthamoeba species isolates from corneal scrape specimens, contact lenses, lens cases, and home water supplies of Acanthamoeba keratitis patients in Hong Kong. J Clin Microbiol 2002, 40, 1621-1625.
• 9. Brandt FH, Ware DA, Visvesvara GS: Viability of Acanthamoeba cysts in ophthalmic solutions. Appl Environ Microbiol 1989, 55, 1144-1146.
• 10. Chappell CL, Wright JA, Coletta M, Newsome AL: Standardized method of measuring Acanthamoeba antibodies in sera from healthy human subjects. Clin Diagn Lab Immunol 2001, 8, 724-730.
• 11. Dini LA, Cockinos C, Frean JA, Niszl IA, Markus MB: Unusual case of Acanthamoeba polyphaga and Pseudomonas aeruginosa keratitis in a contact lens wearer from Gauteng, South Africa. J Clin Microbiol 2000, 38, 826-829.
• 12. Friedman RF, Wolf TC, Chodosh J: Acanthamoeba infection after radial keratotomy. Am J Ophthalmol 1997, 123, 409-410.
• 13. Gray TB, Cursons RT, Sherwan JF, Rose PR: Acanthamoeba, bacterial, and fungal contamination of contact lens storage cases. Br J Ophthalomol 1995, 79, 601-605.
• 14. Hahn TW, O´Brien TP, Sah WJ, Kim JH: Acridine orange staining for rapid diagnosis of Acanthamoeba keratitis. Jpn J Ophthalmol 1998, 42, 108 -114.
• 15. Hansen B, Kronborg G: Acanthamoeba keratitis in a non-contact lens wearer with human immunodeficiency virus. Scand J Infect Dis 2003, 35, 207-209.
• 16. He Y, Sun B, Zhong P: An analysis of the cause of misdiagnosis with ocular opportunistic infection. Chung Hua Yen Ko Tsa Chih 1997, 33, 45-48.
• 17. Jones DB, Visvesvara GS, Robinson NM: Acanthamoeba polyphaga keratitis and Acanthamoeba uveitis associated with fatal meningoencephalitis. Trans Ophthal Soc UK 1975, 95, 221-232
• 18. Kosrirukvongs P, Wanachiwanawin D, Visvesvara GS: Treatment of Acanthamoeba keratitis with chlorhexidine. Ophthalmology 1999, 106, 798-802.
• 19. Ledee DR, Hay J, Byers TJ, Seal DV, Kirkness CM: Acanthamoeba griffini. Molecular characterization of a new corneal pathogen. Invest Ophthalmol Vis Sci 1996, 37, 544-550.
• 20. Marciano-Cabral F, Puffenbarger R, Cabral G: The increasing importance of Acanthamoeba infections. J Eukaryot Microbiol 2000, 47, 29-36.
• 21. Marciano-Cabral F, Cabral G: Acanthamoeba spp. as agents of disease in humans. Clin Microbiol Rev 2003, 16, 273-307.
• 22. Martinez AJ, Visvesvara GS: Free- living amphizoic and opportunistic amebas. Brain Pathol 1997, 7, 583-598.
• 23. Mathers WD, Sutphin JE, Folberg R, Meier PA, Wenzel RP, Elgin RG: Outbreak of keratitis presumed to by caused by Acantamoeba. Am J Ophthalmol 1996, 121, 129-142.
• 24. Niszl IA, Markus MB: Anti-Acanthamoeba activity of contact lens solutions. Br J Ophthalmol 1998, 82, 1033-1038.
• 25. Ono M, Tachibana H, Hiwatashi E, Ishibashi Y, Yano H, Kaneda Y: Immunodiagnosis of Acanthamoeba keratitis using monoclonal antibodies. Invest Ophthalmol Vis Sci 2003, 44, E-Abstract 4758.
• 26. Page FC: A new key to freshwater and soil Gymnamoebae. Freshwater Biological Association, Ambleside 1988.
• 27. Pasricha G, Sharma S, Garg P, Aggarwal RK: Use of 18S rRNA gene-based PCR assay for diagnosis of Acanthamoeba keratitis in noncontact lens wearers in India. J Clin Microbiol 2003, 41, 3206-3211.
• 28. Pussard M, Pons R: Morphologie de la paroi kystique et taxonomie du genre Acanthamoeba (Protozoa, Amoebida). Protistologica 1977, 13, 557-610.
• 29. Radford CF, Bacon AS, Dart JKG, Minassian DC: Risk factors for Acanthamoeba keratitis in contact lens users: a case-control study. BMJ 1995, 310, 1567-1570.
• 30. Rivasi F, Longanesi L, Casolari C, Croppo GP, Pierini G, Zunarelli E, Visvesvara GS: Cytologic diagnosis of Acanthamoeba keratitis. Report of a case with correlative study with indirect immunofluorescence and scanning electron microscopy. Acta Cytol 1995, 39, 821-826.
• 31. Seal DV, Hay J: Acanthamoeba keratitis. BMJ 1994, 309, 1019.
• 32. Sharma S, Srinivasan M, George C: Acanthamoeba keratitis in non-contact lens wearers. Arch Ophthalmol 1991, 108, 676-678.
• 33. Sharma S, Garg P, Rao GN: Patient characteristics, diagnosis, and treatment of non-contact lens related Acanthamoeba keratitis. Br J Ophthalmol 2000, 84, 1103-1108.
• 34. Singh S, Sachdeva MPS: Acanthamoeba keratitis. BMJ 1994, 309, 273.
• 35. Stehr-Green JK, Bailey TM, Visvesvara GS: The epidemiology of Acanthamoeba keratitis in the United States. Am J Ophthalmol 1989, 107, 331-336.
• 36. Stothard DR, Schroeder-Diedrich JM, Awwad MH, Gast RJ, Ledee DR, Rodriguez-Zaragoza S, Dean CL, Fuerst PA, Byers TJ: The evolutionary history of the genus Acanthamoeba and the identification of eight new 18S rRNA gene seqence types. J Eukaryot Microbiol 1998, 45, 45-54.
• 37. Szenasi Z, Endo T, Yagita K, Nagy E: Isolation, identification and increasing importance of “free- living” amoebae causing human disease. J Med Microbiol 1998, 47, 5-16. First cases of Acanthamoeba keratitis in Slovakia 341
• 38. Takatsu M, Nada T, Yamamoto H, Ichiyama S: A case of Acanthamoeba keratitis after operation for catarakt. Kansenshogaku Zasshi 1995, 69, 1159-1161.
• 39. Tay-Kearney ML, McGhee CN, Crawford GJ, Trown K: Acanthamoeba keratitis. A masquerade of presentation in six cases. Aust N Z J Ophthalmol 1993, 21, 237-245.
• 40. Tien SH, Sheu MM: Treatment of Acanthamoeba keratitis combined with fungal infection with polyhexamethylene biguanide. Kao Hsiung I Hsueh Ko Hsueh Tsa Chih 1999, 11, 665-673.
• 41. Verhelle V, Maudgal PC: Keratoplasty a chaud in severe keratitis. Bull Soc Belge Ophtalmol 1996, 261, 29-36.
• 42. Visvesvara GS, Stehr-Green JK: Epidemiology of free-living ameba infection. J Protozool 1990, 37, 25S-33S.
• 43. Visvesvara GS: Pathogenic and opportunistic free-living amebae. In: Murray PR, Baron EJ, Pfaller MA, Tenover FC, Yolken RH (Eds): Manual of Clinical Microbiology, 1981-1990. ASM, Washington DC 2003.
• 44. Wright P, Warhurst D, Jones BR: Acanthamoeba keratitis successfully treated medically. Br J Ophthalmol 1985, 69, 778-782.
• 45. Yagita K, Endo T, De Jonckheere JF: Clustering of Acanthamoeba isolates from human eye infections by means of mitochondrial DNA digestion patterns. Parasitol Res 1999, 85, 284-289.
• 46. Yang YF, Matheson M, Dart JKG, Cree IA: Persistence of acanthamoeba antigen following acanthamoeba keratitis. Br J Ophthalmol 2001, 85, 277-280.