Streptococcus constellatus Causing Brain Abscess Identified by Metagenomics Next-Generation Sequencing

2021 ◽  
Author(s):  
Ke Xiao ◽  
Dongxia Zhao ◽  
Yu Luo ◽  
Ying Si
Keyword(s):  
Next Generation Sequencing ◽  
Brain Abscess ◽  
Next Generation ◽  
Streptococcus Constellatus ◽  
Generation Sequencing

scholarly journals Case Report: Metagenomics Next-Generation Sequencing Can Help Define the Best Therapeutic Strategy for Brain Abscesses Caused by Oral Pathogens

2021 ◽  
Vol 8 ◽  
Author(s):  
Zhonghui Ma ◽  
Su Yan ◽  
Haoxin Dong ◽  
Huifen Wang ◽  
Yonggang Luo ◽  
...  
Keyword(s):  
Next Generation Sequencing ◽  
Brain Abscess ◽  
Genomic Analysis ◽  
Critical Factor ◽  
Oral Microbiome ◽  
Next Generation ◽  
Gram Staining ◽  
Brain Abscesses ◽  
Generation Sequencing

Brain abscesses are associated with an increased long-term risk of new seizures and increased mortality within several years after infection. Common microorganisms that cause brain abscesses include bacteria, fungi, and mycoplasma. We report a 75-year-old man with a brain abscess caused by Prevotella denticola, an oral pathogen. Based on the clinical condition, we suspected that the patient had a blood-borne brain abscess, and he received antibiotics and systemic supportive treatment. The patient developed shock for the second time after negative Gram-staining results. Metagenomics next-generation sequencing showed one strain from the oral microbiome, confirming our hypothesis, and targeted antibiotic treatment was administered quickly. Thus, we report a case in which genomic analysis was the critical factor in determining the best antimicrobial therapy for administration.

scholarly journals An unusual case report of brain abscess caused by prevotella loescheii identified using the metagenomic next-generation sequencing

IDCases ◽  
2020 ◽  
Vol 20 ◽  
pp. e00758
Author(s):  
Shuixiang Deng ◽  
Hongda Zhu ◽  
Yuming Li ◽  
Feng Zhao ◽  
Umut Ocak ◽  
...  
Keyword(s):  
Case Report ◽  
Next Generation Sequencing ◽  
Brain Abscess ◽  
Unusual Case ◽  
Next Generation ◽  
Generation Sequencing ◽  
Unusual Case Report

scholarly journals Idiopathic thrombocytopenic purpura with brain abscess caused by Nocardia farcinica diagnosed using metagenomics next-generation sequencing of the cerebrospinal fluid: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chaojun Zhou ◽  
Kai Wang ◽  
Hanrong Li ◽  
Xiaobo Zhang
Keyword(s):  
Cerebrospinal Fluid ◽  
Next Generation Sequencing ◽  
Brain Abscess ◽  
Idiopathic Thrombocytopenic Purpura ◽  
Diagnostic Methods ◽  
Next Generation ◽  
Culture Methods ◽  
Thrombocytopenic Purpura ◽  
Nocardia Farcinica ◽  
Generation Sequencing

Abstract Background Brain abscesses caused by Nocardia farcinica are rare, and mostly occur in immunocompromised individuals. Rapid and accurate diagnosis of nocardiosis is challenging. Due to the inadequate performance of conventional diagnostic methods for Nocardia infection, metagenomics next-generation sequencing (mNGS) of cerebrospinal fluid (CSF) has the potential to improve the diagnosis intracranial nocardiosis. Case presentation We report a case of 50-year-old man with brain abscess caused by Nocardia farcinica. The patient had a idiopathic thrombocytopenic purpura complication that required long-term methylprednisolone administration. His chest image showed multiple lesions, which had been misdiagnosed as lung cancer, and his head image showed multiple intracranial metastases. No pathogen was detected in routine examinations including blood culture, sputum culture and traditional culture methods of cerebrospinal fluid. In order to accurately identify the pathogen, mNGS was used to detect Nocardia in CSF. Although the patient’s condition improved after using sensitive antibiotics, he transferred to the local hospital for treatment because of many complicated diseases and family financial limitations. Conclusion This case highlights the value of mNGS in the diagnosis of Nocardia brain abscess, and emphasizes the inadequate sensitivity of conventional diagnostic methods for Nocardia infection. Using mNGS can facilitate early and accurate detection of Norcadia-associated of meningitis in immunocompromised patients, thereby reducing unnecessary use of antibiotics and reducing mortality of the disease.

Labordiagnostik bei gastrointestinalen Tumoren

2020 ◽  
Vol 11 (05) ◽  
pp. 232-238
Author(s):  
Marcus Kleber
Keyword(s):  
Next Generation Sequencing ◽  
Kolorektales Karzinom ◽  
Next Generation ◽  
Generation Sequencing

ZUSAMMENFASSUNGDas kolorektale Karzinom (KRK) ist einer der häufigsten malignen Tumoren in Deutschland. Einer frühzeitigen Diagnostik kommt große Bedeutung zu. Goldstandard ist hier die Koloskopie. Die aktuelle S3-Leitlinie Kolorektales Karzinom empfiehlt zum KRK-Screening den fäkalen okkulten Bluttest. Für das Monitoring von Patienten vor und nach Tumorresektion werden die Messung des Carcinoembryonalen Antigens (CEA) und der Mikrosatellitenstabilität empfohlen. Für die Auswahl der korrekten Chemotherapie scheint derzeit eine Überprüfung des Mutationsstatus, mindestens des KRAS-Gens und des BRAF-Gens, sinnvoll zu sein. Eine Reihe an neuartigen Tumormarkern befindet sich momentan in der Entwicklung, hat jedoch noch nicht die Reife für eine mögliche Anwendung in der Routinediagnostik erreicht. Den schnellsten Weg in die breite Anwendung können Next-Generation-Sequencing-basierte genetische Tests finden.

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