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Walochnik, J; Haller-Schober, E; Kölli, H; Picher, O; Obwaller, A; Aspöck, H.
Discrimination between clinically relevant and nonrelevant Acanthamoeba strains isolated from contact lens- wearing keratitis patients in Austria.
J CLIN MICROBIOL 2000 38: 3932-3936. Doi: 10.1128/JCM.38.11.3932-3936.2000 (- Case Report) [OPEN ACCESS]
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Co-authors Med Uni Graz
Haller-Schober Eva-Maria
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Abstract:
Eighteen cases of Acanthamoeba-associated keratitis among contact lens wearers seen at the Department of Ophthalmology, Karl-Franzens-University, Graz, Austria, between 1996 and 1999 are reviewed. The amoebae were proven to be the causative agents in three patients. The aim of our study was to discriminate between clinically relevant and nonrelevant isolates and to assess the relatedness of the isolates to published strains. Altogether, 20 strains of free-living amoebae, including 15 Acanthamoeba strains, 3 Vahlkampfia strains, and 2 Hartmannella strains, were isolated from clinical specimens. The virulent Acanthamoeba strains were identified as A. polyphaga and two strains of A. hatchetti. To our knowledge this is the first determination of keratitis-causing Acanthamoeba strains in Austria. Clinically relevant isolates differed markedly from nonrelevant isolates with respect to their physiological properties. 18S ribosomal DNA sequence types were determined for the three physiologically most-divergent strains including one of the keratitis-causing strains. This highly virulent strain exhibited sequence type T6, a sequence type not previously associated with keratitis. Sequence data indicate that Acanthamoeba strains causing keratitis as well as nonpathogenic strains of Acanthamoeba in Austria are most closely related to published strains from other parts of the world. Moreover, the results of our study support the assumption that pathogenicity in Acanthamoeba is a distinct capability of certain strains and not dependent on appropriate conditions for the establishment of an infection.
Find related publications in this database (using NLM MeSH Indexing)
Acanthamoeba - classification
Acanthamoeba Keratitis - parasitology
Adolescent - parasitology
Adult - parasitology
Animals - parasitology
Contact Lenses - adverse effects
DNA, Protozoan - analysis
DNA, Ribosomal - analysis
Female - analysis
Humans - analysis
Male - analysis
Middle Aged - analysis
Molecular Sequence Data - analysis
Polymerase Chain Reaction - methods
RNA, Ribosomal, 18S - genetics
Sequence Analysis, DNA - genetics
Virulence - genetics

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