The identification of Naegleria fowleri from water and soil samples by nested PCR

Rebecca C Maclean1, Dennis J Richardson, Robin LePardo

  • 1Department of Microbiology and Immunology, Medical College of Virginia Campus, Virginia Commonwealth University, Richmond, VA 23298, USA.

Insights

A nested PCR assay effectively detects Naegleria fowleri, the cause of primary amebic meningoencephalitis (PAM), in freshwater. This method identified the pathogen in Virginia and for the first time in Connecticut, aiding environmental monitoring.

Area of Science:

  • Environmental microbiology
  • Molecular biology
  • Public health

Background:

  • Naegleria fowleri causes fatal primary amebic meningoencephalitis (PAM) in humans.
  • Infection occurs through freshwater exposure, necessitating environmental monitoring for this pathogen.
  • Current detection methods may be limited in environmental surveillance.

Purpose of the Study:

  • To evaluate a nested PCR assay for detecting Naegleria fowleri in freshwater.
  • To assess the presence of Naegleria fowleri in water bodies in Virginia and Connecticut.
  • To establish a reliable method for identifying pathogenic ameboflagellates in environmental samples.

Main Methods:

  • Water samples were collected from freshwater habitats in Virginia and Connecticut.
  • A nested PCR assay was employed for the direct detection of Naegleria fowleri DNA.
  • Some samples underwent enrichment by culture prior to PCR analysis.

Main Results:

  • Naegleria fowleri was detected in 2 of 4 samples from Virginia using PCR without prior culture.
  • The pathogen was identified in 15 of 86 samples from Connecticut after culture enrichment.
  • This study marks the first documented occurrence of Naegleria fowleri in Connecticut waters.

Conclusions:

  • The nested PCR assay is a viable tool for detecting Naegleria fowleri in environmental water samples.
  • The findings highlight the presence of Naegleria fowleri in previously unreported regions.
  • Environmental PCR offers a valuable approach for monitoring public freshwater for pathogenic amebae.

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