Abstract

The present work focuses on a local survey of free-living amoebae (FLA) that cause opportunistic and nonopportunistic infections in humans. Determining the prevalence of FLA in water sources can shine a light on the need to prevent FLA related illnesses. A total of 150 samples of tap water were collected from six districts of Sivas province. The samples were filtered and seeded on nonnutrient agar containing Escherichia coli spread. Thirty-three (22%) out of 150 samples were found to be positive for FLA. The FLA were identified by morphology and by PCR using 18S rDNA gene. The morphological analysis and partial sequencing of the 18S rDNA gene revealed the presence of three different species, Acanthamoeba castellanii, Acanthamoeba polyphaga, and Hartmannella vermiformis. Naegleria fowleri, Balamuthia mandrillaris, or Sappinia sp. was not isolated during the study. All A. castellanii and A. polyphaga sequence types were found to be genotype T4 that contains most of the pathogenic Acanthamoeba strains. The results indicated the occurrence and distribution of FLA species in tap water in these localities of Sivas, Turkey. Furthermore, the presence of temperature tolerant Acanthamoeba genotype T4 in tap water in the region must be taken into account for health risks.

Highlights

  • Free-living amoebae (FLA), ubiquitous and widely distributed protozoa, feed on bacteria, algae, fungi, and small organic particles and are adaptable to their environment [1]

  • Sappinia diploidea have been reported, only once, from a brain infection in a healthy man [9]. This amoeba was identified later as Sappinia pedata, by using real-time PCR tests based on 18S rRNA gene sequences [10]

  • All Hartmannella isolates (n = 24) were identified as H. vermiformis and except one isolate, which was identified as A. polyphaga, all Acanthamoeba isolates (n = 8) were identified as A. castellanii

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Summary

Introduction

Free-living amoebae (FLA), ubiquitous and widely distributed protozoa, feed on bacteria, algae, fungi, and small organic particles and are adaptable to their environment [1]. They can be found in dust, air, seawater, dental treatment units, sewage, eyewash solutions, contact lenses, and dialysis units and are abundant in soil and water [2, 3]. Acanthamoeba spp. and Balamuthia mandrillaris cause granulomatous amoebic encephalitis (GAE) while Naegleria fowleri causes primary amoebic meningoencephalitis (PAM). Both GAE and PAM are central nervous system infections. This amoeba was identified later as Sappinia pedata, by using real-time PCR tests based on 18S rRNA gene sequences [10]

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