2015
DOI: 10.4269/ajtmh.15-0193
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Comparison of Fluorescence Microscopy and Different Growth Media Culture Methods for Acanthamoeba Keratitis Diagnosis

Abstract: Abstract. Acanthamoeba keratitis (AK), a potentially blinding infection of the cornea, is caused by a free-living protozoan. Culture and microscopic examination of corneal scraping tissue material is the conventional method for identifying Acanthamoeba. In this article, we compared several methods for AK diagnosis of 32 patients: microscopic examination using fluorescent dye, specific culture on growth media-non-nutrient agar (NNA), culture on liquid growth media-peptone yeast glucose (PYG), and TYI-S-33. AK w… Show more

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Cited by 10 publications
(8 citation statements)
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References 16 publications
(14 reference statements)
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“…The basic nutrient media that is used for Acanthamoeba typically contains peptone, yeast extract, and glucose, in concentrations generally higher than those used for growth in bacterized cultures (Schuster, 2002). The PYG media is recommended for growth of Acanthamoeba parasite (Peretz et al 2015). The RPMI 1640 and TBH media the most widely were used media for Leishmania parasite (Limoncu et al, 1997;Sharief et al, 2008).…”
Section: Discussionmentioning
confidence: 99%
“…The basic nutrient media that is used for Acanthamoeba typically contains peptone, yeast extract, and glucose, in concentrations generally higher than those used for growth in bacterized cultures (Schuster, 2002). The PYG media is recommended for growth of Acanthamoeba parasite (Peretz et al 2015). The RPMI 1640 and TBH media the most widely were used media for Leishmania parasite (Limoncu et al, 1997;Sharief et al, 2008).…”
Section: Discussionmentioning
confidence: 99%
“…In another study by Peretz, it was observed that culture in PYG and TYI-S-33 medium could help to diagnose Acanthamoe ba keratitis alongside the calcofluor white staining and fluorescence microscopy. PYG culture media was reliable, cost-effective, efficient, and straightforward method for the detection and diagnosis of Acanthamoeba keratitis (AK) ( Peretz et al., 2015 ). Heredero-Bermejo; et al., observed that both the BHI medium (brain-heart infusion, standard medium in microbiology, rarely used in amoeba culture) and the PYG prepared with Pancreatic Digest of Casein (Bacto casitone) are the most appropriate for growing and maintaining the Acanthamoeba castellanii strain.…”
Section: Discussionmentioning
confidence: 99%
“…This limited ability to efficiently identify ocular infections can lead to deterioration of symptoms [17]. Diagnostic techniques for AK include confocal microscopy combined with corneal scrapings, which are used to make smears for direct microscopic examination and to culture on non-nutrient agar (NNA) plates seeded with a lawn of Escherichia coli for detection of the amoeba [18][19][20][21]. Polymerase chain reaction (PCR) and real-time PCR assays have a much higher sensitivity compared to microscopic examination and culture for detecting Acanthamoeba in ocular samples, particularly when a combination of different PCR assays is used [22].…”
Section: Introductionmentioning
confidence: 99%