The global epidemiology and clinical diagnosis of Acanthamoeba keratitis

Acanthamoeba keratitis is a rare parasitic infection of the cornea that can lead to permanent blindness if not diagnosed and treated promptly. We collected data on the incidences of Acanthamoeba keratitis from 20 countries and calculated an annual incidence of 23,561 cases, with the lowest rates in...

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Published inJournal of infection and public health Vol. 16; no. 6; pp. 841 - 852
Main Authors Zhang, Yuheng, Xu, Xizhan, Wei, Zhenyu, Cao, Kai, Zhang, Zijun, Liang, Qingfeng
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.06.2023
Elsevier
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Abstract Acanthamoeba keratitis is a rare parasitic infection of the cornea that can lead to permanent blindness if not diagnosed and treated promptly. We collected data on the incidences of Acanthamoeba keratitis from 20 countries and calculated an annual incidence of 23,561 cases, with the lowest rates in Tunisia and Belgium, and the highest in India. We analyzed 3755 Acanthamoeba sequences from the GenBank database across Asia, Europe, North America, South America, and Oceania and genotyped them into T1, T2, T3, T4, T5, T10, T11, T12, and T15. Many genotypes possess different characteristics, yet T4 is the most prevalent genotype. As efficient treatment against Acanthamoeba remains lacking, prevention from early diagnosis via staining, PCR, or in vivo confocal microscopy (IVCM) becomes significant for the condition’s prognosis. IVCM is the most recommended approach for the early detection of Acanthamoeba. If IVCM is unavailable, PCR should be used as an alternative.
AbstractList Acanthamoeba keratitis is a rare parasitic infection of the cornea that can lead to permanent blindness if not diagnosed and treated promptly. We collected data on the incidences of Acanthamoeba keratitis from 20 countries and calculated an annual incidence of 23,561 cases, with the lowest rates in Tunisia and Belgium, and the highest in India. We analyzed 3755 Acanthamoeba sequences from the GenBank database across Asia, Europe, North America, South America, and Oceania and genotyped them into T1, T2, T3, T4, T5, T10, T11, T12, and T15. Many genotypes possess different characteristics, yet T4 is the most prevalent genotype. As efficient treatment against Acanthamoeba remains lacking, prevention from early diagnosis via staining, PCR, or in vivo confocal microscopy (IVCM) becomes significant for the condition’s prognosis. IVCM is the most recommended approach for the early detection of Acanthamoeba. If IVCM is unavailable, PCR should be used as an alternative.
Acanthamoeba keratitis is a rare parasitic infection of the cornea that can lead to permanent blindness if not diagnosed and treated promptly. We collected data on the incidences of Acanthamoeba keratitis from 20 countries and calculated an annual incidence of 23,561 cases, with the lowest rates in Tunisia and Belgium, and the highest in India. We analyzed 3755 Acanthamoeba sequences from the GenBank database across Asia, Europe, North America, South America, and Oceania and genotyped them into T1, T2, T3, T4, T5, T10, T11, T12, and T15. Many genotypes possess different characteristics, yet T4 is the most prevalent genotype. As efficient treatment against Acanthamoeba remains lacking, prevention from early diagnosis via staining, PCR, or in vivo confocal microscopy (IVCM) becomes significant for the condition's prognosis. IVCM is the most recommended approach for the early detection of Acanthamoeba. If IVCM is unavailable, PCR should be used as an alternative.Acanthamoeba keratitis is a rare parasitic infection of the cornea that can lead to permanent blindness if not diagnosed and treated promptly. We collected data on the incidences of Acanthamoeba keratitis from 20 countries and calculated an annual incidence of 23,561 cases, with the lowest rates in Tunisia and Belgium, and the highest in India. We analyzed 3755 Acanthamoeba sequences from the GenBank database across Asia, Europe, North America, South America, and Oceania and genotyped them into T1, T2, T3, T4, T5, T10, T11, T12, and T15. Many genotypes possess different characteristics, yet T4 is the most prevalent genotype. As efficient treatment against Acanthamoeba remains lacking, prevention from early diagnosis via staining, PCR, or in vivo confocal microscopy (IVCM) becomes significant for the condition's prognosis. IVCM is the most recommended approach for the early detection of Acanthamoeba. If IVCM is unavailable, PCR should be used as an alternative.
Author Zhang, Zijun
Zhang, Yuheng
Xu, Xizhan
Wei, Zhenyu
Cao, Kai
Liang, Qingfeng
Author_xml – sequence: 1
  givenname: Yuheng
  surname: Zhang
  fullname: Zhang, Yuheng
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  givenname: Xizhan
  surname: Xu
  fullname: Xu, Xizhan
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  givenname: Zhenyu
  orcidid: 0000-0001-5072-1883
  surname: Wei
  fullname: Wei, Zhenyu
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  givenname: Kai
  surname: Cao
  fullname: Cao, Kai
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  givenname: Zijun
  surname: Zhang
  fullname: Zhang, Zijun
– sequence: 6
  givenname: Qingfeng
  surname: Liang
  fullname: Liang, Qingfeng
  email: liangqingfeng@ccmu.edu.cn
BackLink https://www.ncbi.nlm.nih.gov/pubmed/37030037$$D View this record in MEDLINE/PubMed
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Keywords Genotype
Acanthamoeba keratitis
Diagnosis
Epidemiology
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Snippet Acanthamoeba keratitis is a rare parasitic infection of the cornea that can lead to permanent blindness if not diagnosed and treated promptly. We collected...
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SubjectTerms Acanthamoeba - genetics
Acanthamoeba keratitis
Acanthamoeba Keratitis - diagnosis
Acanthamoeba Keratitis - epidemiology
Acanthamoeba Keratitis - parasitology
Cornea - parasitology
Diagnosis
Epidemiology
Genotype
Humans
Prognosis
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Title The global epidemiology and clinical diagnosis of Acanthamoeba keratitis
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