Skip to main content
Log in

Identification of T3 and T4 Genotypes of Acanthamoeba sp. in Dust Samples Isolated from Air Conditioning Equipment of Public Hospital of Ituiutaba-MG

  • Published:
Current Microbiology Aims and scope Submit manuscript

Abstract

The free-living amoebae are currently considered an emerging parasitic infection. The infection by this protozoan can generate serious infection and even cause death. Due to their amphizoic and opportunistic characters of these microorganisms, one should give more attention, not only in swimming pools but also where there are immunologically susceptible patients such as those found in intensive care units and surgical centers. Due to their difficult diagnosis often postmortem, because they are considered to be an emerging parasitic infection and their diagnosis is difficult, often performed post mortem. This study aimed to evaluate the safety of these protozoa in air conditioners by taking samples of dust from both the surgical center and the intensive therapy unit. We analyzed 48 dust samples that were collected from six air conditioners equipment located in the Intensive Care Unit (ICU) and Surgical Center (SC) of a public hospital. We found 10.4% of the samples collected in the SC, and 75% of the samples collected in the ICU presented free-living amoeba cysts by light microscopy analysis. In total, 35.4% (17/48) of the air conditioning samples of the hospital were positive and, by PCR, were identified to belong to the genus Acanthamoeba spp and Balamuthia mandrillaris species. By DNA sequencing analysis, it was possible to classify the Acanthamoeba samples as belonging to the T3 and T4 genotypes. These genotypes are the main cause of keratitis in humans, and Balamuthia may cause amoebic encephalitis, and together are emerging parasitic infections. Our results show the presence of the two most important amoebas Acanthamoeba (T3 and T4 genotypes) and Balamuthia in the SC and the ICU, and these necessary precautions these sites could be propagating cysts of these amoebas and patients during their stay or discharge could present ocular and NSC alterations without perhaps arriving to the diagnosis of free-living amoeba infection.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Omana-Molina M, Vanzzini-Zago V, Hernandez-Martinez D, Gonzalez-Robles A, Salazar-Villatoro L, Ramirez-Flores E, Oregon-Miranda E, Lorenzo-Morales J, Martinez-Palomo A (2016) Acanthamoeba genotypes T3 and T4 as causative agents of amoebic keratitis in Mexico. Parasitol Res 115:873–878. https://doi.org/10.1007/s00436-015-4821-4

    Article  PubMed  Google Scholar 

  2. Ghadage DP, Choure AC, Wankhade AB, Bhore AV (2017) Opportunistic free: living amoeba now becoming a usual pathogen? Indian J Pathol Microbiol 60:601–603. https://doi.org/10.4103/IJPM.IJPM_815_16

    Article  PubMed  Google Scholar 

  3. Visvesvara GS (2013) Infections with free-living amoebae. Handb Clin Neurol 114:153–168. https://doi.org/10.1016/B978-0-444-53490-3.00010-8

    Article  PubMed  Google Scholar 

  4. Teixeira LH, Rocha S, Pinto RM, Caseiro MM, Costa SO (2009) Prevalence of potentially pathogenic free-living amoebae from Acanthamoeba and Naegleria genera in non-hospital, public, internal environments from the city of Santos, Brazil. Brazilian J Infect Dis 13:395–397

    Article  Google Scholar 

  5. Castro-Artavia E, Retana-Moreira L, Lorenzo-Morales J, Abrahams-Sandi E (2017) Potentially pathogenic Acanthamoeba genotype T4 isolated from dental units and emergency combination showers. Mem Inst Oswaldo Cruz 112:817–821. https://doi.org/10.1590/0074-02760170147

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Carlesso AM, Simonetti AB, Artuso GL, Rott MB (2007) Isolation and identification of potentially pathogenic free-living amoebae in samples from environments in a public hospital in the city of Porto Alegre, Rio Grande do Sul. Rev Soc Bras Med Trop 40:316–320

    Article  Google Scholar 

  7. Schuster FL, Visvesvara GS (2004) Free-living amoebae as opportunistic and non-opportunistic pathogens of humans and animals. Int J Parasitol 34:1001–1027. https://doi.org/10.1016/j.ijpara.2004.06.004

    Article  PubMed  Google Scholar 

  8. Schuster FL, Visvesvara GS (2004) Opportunistic amoebae: challenges in prophylaxis and treatment. Drug Resist Updat 7:41–51. https://doi.org/10.1016/j.drup.2004.01.002

    Article  CAS  PubMed  Google Scholar 

  9. Visvesvara GS, Moura H, Schuster FL (2007) Pathogenic and opportunistic free-living amoebae: Acanthamoeba spp., Balamuthia mandrillaris, Naegleria fowleri, and Sappinia diploidea. FEMS Immunol Med Microbiol 50:1–26. https://doi.org/10.1111/j.1574-695X.2007.00232.x

    Article  CAS  PubMed  Google Scholar 

  10. Rizo-Liendo A, Sifaoui I, Reyes-Batlle M, Chiboub O, Rodriguez-Exposito RL, Bethencourt-Estrella CJ, San Nicolas-Hernandez D, Hendiger EB, Lopez-Arencibia A, Rocha-Cabrera P, Pinero JE, Lorenzo-Morales J (2019) In vitro activity of statins against Naegleria fowleri. Pathogens. https://doi.org/10.3390/pathogens8030122

    Article  PubMed  PubMed Central  Google Scholar 

  11. Betanzos A, Banuelos C, Orozco E (2019) Host invasion by pathogenic amoebae: epithelial disruption by parasite proteins. Genes. https://doi.org/10.3390/genes10080618

    Article  PubMed  PubMed Central  Google Scholar 

  12. Krol-Turminska K, Olender A (2017) Human infections caused by free-living Amoebae. Ann Agric Environ Med 24:254–260. https://doi.org/10.5604/12321966.1233568

    Article  CAS  PubMed  Google Scholar 

  13. Yohannan B, Feldman M (2019) Fatal Balamuthia mandrillaris encephalitis. Case Rep Infect Dis 2019:9315756. https://doi.org/10.1155/2019/9315756

    Article  PubMed  PubMed Central  Google Scholar 

  14. Reddy R, Vijayasaradhi M, Uppin MS, Challa S, Jabeen A, Borghain R (2011) Acanthamoeba meningoencephalitis in an immunocompetent patient: an autopsy case report. Neuropathology 31:183–187. https://doi.org/10.1111/j.1440-1789.2010.01151.x

    Article  PubMed  Google Scholar 

  15. Corsaro D, Walochnik J, Kohsler M, Rott MB (2015) Acanthamoeba misidentification and multiple labels: redefining genotypes T16, T19, and T20 and proposal for Acanthamoeba micheli sp. nov. (genotype T19). Parasitol Res 114:2481–2490. https://doi.org/10.1007/s00436-015-4445-8

    Article  PubMed  Google Scholar 

  16. Chan LL, Mak JW, Low YT, Koh TT, Ithoi I, Mohamed SM (2011) Isolation and characterization of Acanthamoeba spp. from air-conditioners in Kuala Lumpur. Malaysia. Acta Trop 117:23–30. https://doi.org/10.1016/j.actatropica.2010.09.004

    Article  PubMed  Google Scholar 

  17. Astorga B, Lorenzo-Morales J, Martin-Navarro CM, Alarcon V, Moreno J, Gonzalez AC, Navarrete E, Pinero JE, Valladares B (2011) Acanthamoeba belonging to T3, T4, and T11: genotypes isolated from air-conditioning units in Santiago, Chile. J Eukaryot Microbiol 58:542–544. https://doi.org/10.1111/j.1550-7408.2011.00584.x

    Article  PubMed  Google Scholar 

  18. Schroeder JM, Booton GC, Hay J, Niszl IA, Seal DV, Markus MB, Fuerst PA, Byers TJ (2001) Use of subgenic 18S ribosomal DNA PCR and sequencing for genus and genotype identification of acanthamoebae from humans with keratitis and from sewage sludge. J Clin Microbiol 39:1903–1911. https://doi.org/10.1128/JCM.39.5.1903-1911.2001

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Jayasekera S, Sissons J, Tucker J, Rogers C, Nolder D, Warhurst D, Alsam S, White JM, Higgins EM, Khan NA (2004) Post-mortem culture of Balamuthia mandrillaris from the brain and cerebrospinal fluid of a case of granulomatous amoebic meningoencephalitis, using human brain microvascular endothelial cells. J Med Microbiol 53:1007–1012. https://doi.org/10.1099/jmm.0.45721-0

    Article  PubMed  Google Scholar 

  20. Lorenzo-Morales J, Khan NA, Walochnik J (2015) An update on Acanthamoeba keratitis: diagnosis, pathogenesis and treatment. Parasite 22:10. https://doi.org/10.1051/parasite/2015010

    Article  PubMed  PubMed Central  Google Scholar 

  21. Maycock NJ, Jayaswal R (2016) Update on Acanthamoeba keratitis: diagnosis, treatment, and outcomes. Cornea 35:713–720. https://doi.org/10.1097/ICO.0000000000000804

    Article  PubMed  Google Scholar 

  22. Bravo FG, Seas C (2012) Balamuthia mandrillaris amoebic encephalitis: an emerging parasitic infection. Curr Infect Dis Rep 14:391–396. https://doi.org/10.1007/s11908-012-0266-4

    Article  PubMed  Google Scholar 

  23. Itoh K, Yagita K, Nozaki T, Katano H, Hasegawa H, Matsuo K, Hosokawa Y, Tando S, Fushiki S (2015) An autopsy case of Balamuthia mandrillaris amoebic encephalitis, a rare emerging infectious disease, with a brief review of the cases reported in Japan. Neuropathology 35:64–69. https://doi.org/10.1111/neup.12151

    Article  PubMed  Google Scholar 

  24. Lorenzo-Morales J, Cabello-Vilchez AM, Martin-Navarro CM, Martinez-Carretero E, Pinero JE, Valladares B (2013) Is Balamuthia mandrillaris a public health concern worldwide? Trends Parasitol 29:483–488. https://doi.org/10.1016/j.pt.2013.07.009

    Article  PubMed  Google Scholar 

  25. Niyyati M, Lorenzo-Morales J, Rezaeian M, Martin-Navarro CM, Haghi AM, Maciver SK, Valladares B (2009) Isolation of Balamuthia mandrillaris from urban dust, free of known infectious involvement. Parasitol Res 106:279–281. https://doi.org/10.1007/s00436-009-1592-9

    Article  PubMed  Google Scholar 

  26. Bonilla-Lemus P, Caballero Villegas AS, Carmona Jimenez J, Lugo Vazquez A (2014) Occurrence of free-living amoebae in streams of the Mexico Basin. Exp Parasitol 145(Suppl):S28–33. https://doi.org/10.1016/j.exppara.2014.07.001

    Article  PubMed  Google Scholar 

  27. Moussa M, Tissot O, Guerlotte J, De Jonckheere JF, Talarmin A (2015) Soil is the origin for the presence of Naegleria fowleri in the thermal recreational waters. Parasitol Res 114:311–315. https://doi.org/10.1007/s00436-014-4197-x

    Article  PubMed  Google Scholar 

  28. Corsaro A, Thellung S, Bucciarelli T, Scotti L, Chiovitti K, Villa V, D'Arrigo C, Aceto A, Florio T (2011) High hydrophobic amino acid exposure is responsible of the neurotoxic effects induced by E200K or D202N disease-related mutations of the human prion protein. Int J Biochem Cell Biol 43:372–382. https://doi.org/10.1016/j.biocel.2010.11.007

    Article  CAS  PubMed  Google Scholar 

  29. Behera HS, Satpathy G, Tripathi M (2016) Isolation and genotyping of Acanthamoeba spp. from Acanthamoeba meningitis/ meningoencephalitis (AME) patients in India. Parasit Vectors 9(1):442. https://doi.org/10.1186/s13071-016-1729-5

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Casero RD, Mongi F, Laconte L, Rivero F, Sastre D, Teheran A, Herrera G, Ramirez JD (2017) Molecular and morphological characterization of Acanthamoeba isolated from corneal scrapes and contact lens wearers in Argentina. Infect Genet Evol 54:170–175. https://doi.org/10.1016/j.meegid.2017.06.031

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to César Gómez-Hernández.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fonseca, J.D.G., Gómez-Hernández, C., Barbosa, C.G. et al. Identification of T3 and T4 Genotypes of Acanthamoeba sp. in Dust Samples Isolated from Air Conditioning Equipment of Public Hospital of Ituiutaba-MG. Curr Microbiol 77, 890–895 (2020). https://doi.org/10.1007/s00284-019-01869-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00284-019-01869-4

Navigation