Twenty Years of Acanthamoeba Diagnostics in Austria

Acanthamoebae are the causative agents of an often seriously progressing keratitis (AK) occurring predominantly in contact lens wearers and can cause several disseminating infections potentially resulting in granulomatous amoebic encephalitis (GAE) in the immunocompromised host. Our institution is t...

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Veröffentlicht in:The Journal of eukaryotic microbiology 2015-01, Vol.62 (1), p.3-11
Hauptverfasser: Walochnik, Julia, Scheikl, Ute, Haller‐Schober, Eva‐Maria
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creator Walochnik, Julia
Scheikl, Ute
Haller‐Schober, Eva‐Maria
description Acanthamoebae are the causative agents of an often seriously progressing keratitis (AK) occurring predominantly in contact lens wearers and can cause several disseminating infections potentially resulting in granulomatous amoebic encephalitis (GAE) in the immunocompromised host. Our institution is the Austrian reference laboratory for Acanthamoeba diagnostics and the aim of this study was to give an overview of proven cases of Acanthamoeba infections in Austria during the past 20 yr. All samples of patients with suspected AK or GAE were screened for Acanthamoeba spp. by culture and/or PCR and the detected amoebae were genotyped. Altogether, 154 cases of AK and three cases of GAE were diagnosed. Age of the AK patients ranged from 8 to 82 yr (mean 37.8) and 58% of the patients were female. Approximately 89% of the AK patients were contact lens wearers, almost all cases were unilateral and 19% of the patients required a keratoplasty. Age of the GAE patients ranged from 2 to 25 yr (mean 14.7), all were HIV‐negative, but two were severely immunosuppressed at the time of diagnosis. The predominant genotype in the AK cases was T4, other genotypes found were T3, T5, T6, T10 and T11. The three GAE cases involved genotypes T2, T4 and T5.
doi_str_mv 10.1111/jeu.12149
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Eukaryot. Microbiol</addtitle><description>Acanthamoebae are the causative agents of an often seriously progressing keratitis (AK) occurring predominantly in contact lens wearers and can cause several disseminating infections potentially resulting in granulomatous amoebic encephalitis (GAE) in the immunocompromised host. Our institution is the Austrian reference laboratory for Acanthamoeba diagnostics and the aim of this study was to give an overview of proven cases of Acanthamoeba infections in Austria during the past 20 yr. All samples of patients with suspected AK or GAE were screened for Acanthamoeba spp. by culture and/or PCR and the detected amoebae were genotyped. Altogether, 154 cases of AK and three cases of GAE were diagnosed. Age of the AK patients ranged from 8 to 82 yr (mean 37.8) and 58% of the patients were female. Approximately 89% of the AK patients were contact lens wearers, almost all cases were unilateral and 19% of the patients required a keratoplasty. Age of the GAE patients ranged from 2 to 25 yr (mean 14.7), all were HIV‐negative, but two were severely immunosuppressed at the time of diagnosis. The predominant genotype in the AK cases was T4, other genotypes found were T3, T5, T6, T10 and T11. 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Scheikl, Ute ; Haller‐Schober, Eva‐Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5479-7d1a9bb4f55b878e8bdf77afe89784a7e5c50f0668e5d75e8995e9431d361673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Acanthamoeba</topic><topic>Acanthamoeba - classification</topic><topic>Acanthamoeba - genetics</topic><topic>Acanthamoeba - isolation &amp; purification</topic><topic>Acanthamoeba Keratitis - diagnosis</topic><topic>Acanthamoeba Keratitis - immunology</topic><topic>Acanthamoeba Keratitis - parasitology</topic><topic>Acanthamoeba Keratitis - surgery</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Amebiasis - diagnosis</topic><topic>Amebiasis - immunology</topic><topic>Amebiasis - parasitology</topic><topic>Amebiasis - surgery</topic><topic>characterisation</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>contact lens</topic><topic>Contact Lenses - parasitology</topic><topic>Corneal Transplantation - methods</topic><topic>diagnostic techniques</topic><topic>encephalitis</topic><topic>Encephalitis - diagnosis</topic><topic>Encephalitis - immunology</topic><topic>Encephalitis - parasitology</topic><topic>Encephalitis - surgery</topic><topic>Female</topic><topic>females</topic><topic>Genotype</topic><topic>genotyping</topic><topic>Humans</topic><topic>Immunocompromised Host</topic><topic>infection</topic><topic>keratitis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>patients</topic><topic>polymerase chain reaction</topic><topic>protozoa</topic><topic>SSU</topic><topic>typing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walochnik, Julia</creatorcontrib><creatorcontrib>Scheikl, Ute</creatorcontrib><creatorcontrib>Haller‐Schober, Eva‐Maria</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of eukaryotic microbiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walochnik, Julia</au><au>Scheikl, Ute</au><au>Haller‐Schober, Eva‐Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Twenty Years of Acanthamoeba Diagnostics in Austria</atitle><jtitle>The Journal of eukaryotic microbiology</jtitle><addtitle>J. Eukaryot. Microbiol</addtitle><date>2015-01</date><risdate>2015</risdate><volume>62</volume><issue>1</issue><spage>3</spage><epage>11</epage><pages>3-11</pages><issn>1066-5234</issn><eissn>1550-7408</eissn><abstract>Acanthamoebae are the causative agents of an often seriously progressing keratitis (AK) occurring predominantly in contact lens wearers and can cause several disseminating infections potentially resulting in granulomatous amoebic encephalitis (GAE) in the immunocompromised host. Our institution is the Austrian reference laboratory for Acanthamoeba diagnostics and the aim of this study was to give an overview of proven cases of Acanthamoeba infections in Austria during the past 20 yr. All samples of patients with suspected AK or GAE were screened for Acanthamoeba spp. by culture and/or PCR and the detected amoebae were genotyped. Altogether, 154 cases of AK and three cases of GAE were diagnosed. Age of the AK patients ranged from 8 to 82 yr (mean 37.8) and 58% of the patients were female. Approximately 89% of the AK patients were contact lens wearers, almost all cases were unilateral and 19% of the patients required a keratoplasty. Age of the GAE patients ranged from 2 to 25 yr (mean 14.7), all were HIV‐negative, but two were severely immunosuppressed at the time of diagnosis. The predominant genotype in the AK cases was T4, other genotypes found were T3, T5, T6, T10 and T11. The three GAE cases involved genotypes T2, T4 and T5.</abstract><cop>United States</cop><pub>Society of Protozoologists</pub><pmid>25047131</pmid><doi>10.1111/jeu.12149</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Acanthamoeba
Acanthamoeba - classification
Acanthamoeba - genetics
Acanthamoeba - isolation & purification
Acanthamoeba Keratitis - diagnosis
Acanthamoeba Keratitis - immunology
Acanthamoeba Keratitis - parasitology
Acanthamoeba Keratitis - surgery
Adolescent
Adult
Aged
Aged, 80 and over
Amebiasis - diagnosis
Amebiasis - immunology
Amebiasis - parasitology
Amebiasis - surgery
characterisation
Child
Child, Preschool
contact lens
Contact Lenses - parasitology
Corneal Transplantation - methods
diagnostic techniques
encephalitis
Encephalitis - diagnosis
Encephalitis - immunology
Encephalitis - parasitology
Encephalitis - surgery
Female
females
Genotype
genotyping
Humans
Immunocompromised Host
infection
keratitis
Male
Middle Aged
Original
patients
polymerase chain reaction
protozoa
SSU
typing
title Twenty Years of Acanthamoeba Diagnostics in Austria
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