Bacterial and fungal keratitis in Upper Egypt: in vitro screening of enzymes, toxins and antifungal activity.

Purpose: This work was conducted to study the ability of bacterial and fungal isolates from keratitis cases in Upper Egypt to produce enzymes, toxins, and to test the isolated fungal species sensitivity to some therapeutic agents.Materials and Methods: One hundred and fifteen patients clinically dia...

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Publicado en:Indian Journal of Ophthalmology Vol. 62; no. 2; pp. 196 - 204
Autores principales: Gharamah, Abdullah A, Moharram, Ahmed M, Ismail, Mady A, Al-Hussaini, Ashraf K
Formato: research Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Feb2014
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Indian Journal of Ophthalmology
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      dt: Feb2014
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      pub: Wolters Kluwer India Pvt Ltd
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        109751008
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        109751008
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        atl: Bacterial and fungal keratitis in Upper Egypt: in vitro screening of enzymes, toxins and antifungal activity.
      aug:
        au:
          Gharamah, Abdullah A
          Moharram, Ahmed M
          Ismail, Mady A
          Al-Hussaini, Ashraf K
      sug:
        subj:
          Antibiotics Therapeutic Use
          Antifungal Agents Therapeutic Use
          Bacterial Toxins Metabolism
          Eye Infections, Bacterial Epidemiology
          Eye Infections, Fungal Epidemiology
          Keratitis Epidemiology
          Mycotoxins
          Bacteria Drug Effects
          Bacteria
          Bacteria Metabolism
          Cornea Microbiology
          Egypt
          Eye Infections, Bacterial Drug Therapy
          Eye Infections, Bacterial Microbiology
          Eye Infections, Fungal Drug Therapy
          Eye Infections, Fungal Microbiology
          Fungi Drug Effects
          Fungi
          Fungi Metabolism
          Human
          Incidence
          Keratitis Drug Therapy
          Keratitis Microbiology
      ab: Purpose: This work was conducted to study the ability of bacterial and fungal isolates from keratitis cases in Upper Egypt to produce enzymes, toxins, and to test the isolated fungal species sensitivity to some therapeutic agents.Materials and Methods: One hundred and fifteen patients clinically diagnosed to have microbial keratitis were investigated. From these cases, 37 bacterial isolates and 25 fungal isolates were screened for their ability to produce extra-cellular enzymes in solid media. In addition, the ability of fungal isolates to produce mycotoxins and their sensitivity to 4 antifungal agents were tested.Results: Protease, lipase, hemolysins, urease, phosphatase, and catalase were detected respectively in 48.65%, 37.84%, 59.46%, 43.24%, 67.57%, and 100% out of 37 bacterial isolates tested. Out of 25 fungal isolates tested during the present study, 80% were positive for protease, 84% for lipase and urease, 28% for blood hemolysis, and 100% for phosphatase and catalase enzymes. Thirteen fungal isolates were able to produce detectable amounts of 7 mycotoxins in culture medium (aflatoxins (B1, B2, G1, and G2), sterigmatocystin, fumagillin, diacetoxyscirpenol, zearalenone, T-2 toxin, and trichodermin). Among the antifungal agents tested in this study, terbinafine showed the highest effect against most isolates in vitro.Conclusion: In conclusion, the ability of bacterial and fungal isolates to produce extracellular enzymes and toxins may be aid in the invasion and destruction of eye tissues, which, in turn, lead to vision loss.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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