Characteristics of fungal flora in onion farmlands with potential link to human mycotic keratitis

Abstract

Acquisition of mycotic keratitis has been linked to agricultural activities. Although fungi were identified in injured eyes, data derived directly from farmlands are limited. Following five cases of fungal corneal ulcers in onion harvesters in the monsoon area of Taiwan, the present study further determined fungi genera and their concentrations in onion crops and surface soils of onion farmlands. In total, 52, 100 and 100 samples of soils, onion leaves and bulb scales, respectively, were collected from three monsoon and one non-monsoon farmlands. Fungal colonies were counted and microscopically examined after incubation at 25°C for 4–7 days on malt extract agar with 40 g mL⁻¹ chloramphenicol. Results showed the peak fungi levels were mostly observed at harvest time. Among keratitis-related fungi, Aspergillus predominated in soils as well as in onion bulb scales, while Alternaria in onion leaves. Cladosporium was also prevalent in soils, onion leaves and scales. Other keratitis-related fungi included Acremonium, Curvalaria, Fusarium, Mycelia, Penicillium, Rhizoctonia and Rhizopus. The present study provides an exposure link between onion harvesters and presence of keratitis-related fungi from onion crops and soils, which may account for mycotic ocular infection via hand-to-eye contact and airborne transmission during the monsoon season.

Acknowledgement

Funding for this study was provided by the Institute of Occupational Safety and Health, Council of Labor Affairs. We are indebted to Mr Chen-Yang Chang, Ms Mei-Ju Chen and Ms Shao-Taun Liu for their assistance in sample collection. The participation of the farmers and the farmer cooperatives in Lin-Yuan, Heng-Chun, Shen-Chen and Fun-Shen areas is also gratefully acknowledged.