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Quantification of Acanthamoeba spp. Motility
Published on: September 20, 2024
[Keratitis due to Acanthamoeba]
Julio Pérez-Irezábal1, Inés Martínez, Patricia Isasa
1Servicio de Microbiología y Parasitología, Hospital de Cruces, Baracaldo, Vizcaya, España. jperez-irezabal@hcru.osakidetza.net
Abstract:
Free-living amebae appertaining to the genus Acanthamoeba, Naegleria and Balamuthia are the most prevalent protozoa found in the environment. These amebae have a cosmopolitan distribution in soil, air and water, providing multiple opportunities for contacts with humans and animals, although they only occasionally cause disease. Acanthamoeba spp. are the causative agent of granulomatous amebic encephalitis, a rare and often fatal disease of the central nervous system, and amebic keratitis, a painful disease of the eyes. Keratitis usually follows a chronic course due to the delay in diagnosis and subsequent treatment. The clear increase in Acanthamoeba keratitis in the last 20 years is related to the use and deficient maintenance of contact lenses, and to swimming while wearing them. The expected incidence is one case per 30,000 contact lens wearers per year, with 88% of cases occurring in persons wearing hydrogel lenses. This review presents information on the morphology, life-cycle and epidemiology of Acanthamoeba, as well as on diagnostic procedures (culture), appropriate antimicrobial therapy, and prevention measures.
Insights
Free-living amebae like Acanthamoeba cause serious eye infections, particularly amebic keratitis, in contact lens wearers. This review covers Acanthamoeba
Area of Science:
- Microbiology
- Infectious Diseases
- Ophthalmology
Context:
- Acanthamoeba, Naegleria, and Balamuthia are common environmental protozoa with global distribution.
- While generally harmless, Acanthamoeba can cause severe diseases like granulomatous amebic encephalitis and amebic keratitis.
- Amebic keratitis is a painful eye infection often linked to contact lens use and poor hygiene.
Purpose:
- To provide a comprehensive overview of Acanthamoeba.
- To detail the morphology, life-cycle, and epidemiology of Acanthamoeba.
- To discuss diagnostic methods, treatments, and prevention strategies for Acanthamoeba infections.
Summary:
- Acanthamoeba species are identified as the primary cause of amebic keratitis, an increasingly prevalent eye condition.
- The rise in cases is strongly associated with contact lens wear, especially hydrogel lenses, and inadequate lens care.
- This review synthesizes current knowledge on Acanthamoeba, including its characteristics, disease causation, and management.
Impact:
- Highlights the link between contact lens practices and Acanthamoeba keratitis incidence.
- Informs healthcare professionals and the public about risks and prevention measures.
- Aims to reduce the burden of this painful and potentially sight-threatening infection.
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