The Risk Factors and Clinical Features of Acanthamoeba Keratitis: First Time Detection of Acanthamoeba T5 Genotype from Keratitis Patients in Turkey      
Yazarlar (9)
Derya Dirim Erdogan
Ege University Medical School, Türkiye
Doç. Dr. Mehmet AYKUR Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Nur Selvi Gunel
Ege University Medical School, Türkiye
Melis Palamar
Ege University Medical School, Türkiye
Ozlem Barut Selver
Ege University Medical School, Türkiye
Buket Ozel
Ege University Medical School, Türkiye
Ayse Yagci
Ege University Medical School, Türkiye
Cumhur Gunduz
Ege University Medical School, Türkiye
Hande Dagci
Ege University Medical School, Türkiye
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Acta Parasitologica
Dergi ISSN 1230-2821 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 09-2022
Cilt No 67
Sayı 3
Sayfalar 1384 / 1392
DOI Numarası 10.1007/s11686-022-00596-4
Makale Linki http://dx.doi.org/10.1007/s11686-022-00596-4
Özet
Purpose: The primary aim of this study is to investigate Acanthamoeba in clinical samples of keratitis cases (n = 60), in contact lens (CL) and lens care solutions of asymptomatic CL users (n = 41), and to identify the genotypes in positive samples. The secondary aim is to assess the risk factors and clinical features of Acanthamoeba keratitis (AK) patients. Methods: All samples from patients and asymptomatic CL users were examined by microscopy and inoculated in non-nutrient agar plates. PCR was performed using the DNA isolated from corneal scrapings, CL and lens care solution samples. Positive DNA samples were sequenced to determine the genotype of Acanthamoeba. Results: In none of the samples, Acanthamoeba was identified by microscopy, while Acanthamoeba was detected in a patient with keratitis by culture method. However, Acanthamoeba was detected in 11.66% (7/60) of the keratitis patients by PCR. The genotypes of these isolates detected by sequencing were T4 (4), and T5 (3). Acanthamoeba was detected in none of the samples of asymptomatic CL users by any of the three methods. Conclusion: To best of our knowledge, this is the first study to detect T5 genotype in AK patients from Turkey. In addition, the CL use was found to be an important risk factor for AK.
Anahtar Kelimeler
Acanthamoeba | Contact lens | Cornea | Genotype | Keratitis | T5