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2018 ; 18
(1
): 113
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Next generation sequencing based pathogen analysis in a patient with
neurocysticercosis: a case report
#MMPMID29510659
Liu P
; Weng X
; Zhou J
; Xu X
; He F
; Du Y
; Wu H
; Gong Y
; Peng G
BMC Infect Dis
2018[Mar]; 18
(1
): 113
PMID29510659
show ga
BACKGROUND: Accurate and early diagnosis of neurocysticercosis (NCC) remains a
challenge due to the heterogeneity of its clinical, immunological and imaging
characteristics. The presence of cysticercus DNA in cerebrospinal fluid (CSF) of
NCC patients has been previously detected via conventional PCR assays. To the
best of our knowledge, the use of CSF Next-Generation Sequencing (NGS) based
pathogen analysis in patients with NCC infection has never been reported. CASE
PRESENTATION: This study reports the clinical, imaging, and immunological
features of a patient initially presenting with several months of headache who
further developed a pure sensory stroke. NGS was used to detect the pathogen, and
her CSF demonstrated the presence of Taenia solium-DNA. This finding was
confirmed by a positive reaction to CSF cysticercosis antibodies. After
antiparasitic treatment, secondary CSF NGS revealed the DNA index have dropped
considerably compared to the initial NGS readings. CONCLUSIONS: NGS is a
promising tool for the early and accurate diagnosis of central nervous system
(CNS) infection, especially in the setting of atypical clinical manifestations.
Further studies are required to evaluate the persistence of DNA in the CSF of
patients.
|Adult
[MESH]
|Animals
[MESH]
|Anthelmintics/administration & dosage/therapeutic use
[MESH]