Culture-Negative Streptococcus suis Infection Diagnosed by Metagenomic Next-Generation Sequencing

Background:Streptococcus suis is a zoonotic pathogen that can cause severe infections such as meningitis and septicemia in both swine and humans. Rapid and accurate identification of the causative agent is very important for guiding clinical choices in administering countermeasures.Case Report: Here...

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Main Authors: Yuanyuan Dai, Li Chen, Wenjiao Chang, Huaiwei Lu, Peng Cui, Xiaoling Ma
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpubh.2019.00379/full
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author Yuanyuan Dai
Li Chen
Wenjiao Chang
Huaiwei Lu
Peng Cui
Xiaoling Ma
author_facet Yuanyuan Dai
Li Chen
Wenjiao Chang
Huaiwei Lu
Peng Cui
Xiaoling Ma
author_sort Yuanyuan Dai
collection DOAJ
description Background:Streptococcus suis is a zoonotic pathogen that can cause severe infections such as meningitis and septicemia in both swine and humans. Rapid and accurate identification of the causative agent is very important for guiding clinical choices in administering countermeasures.Case Report: Here, we report a case of fatal S. suis infection in a patient who worked as a butcher in China. The 59-year-old man, who had previously undergone splenectomy, injured his finger while processing pork and developed severe sepsis. While blood cultures were negative following antibiotic treatment, S. suis was determined to be the causative agent by metagenomic next-generation sequencing (mNGS) and Sanger sequencing.Conclusion: Identification of etiological agents using techniques such as blood culture prior to antibiotic treatment is very important. mNGS may represent a useful method for diagnosis of infectious diseases, especially post-antibiotic treatment.
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spelling doaj.art-82fe57f4c2894a778a62c3e0f40ac6b82022-12-22T00:33:03ZengFrontiers Media S.A.Frontiers in Public Health2296-25652019-12-01710.3389/fpubh.2019.00379487139Culture-Negative Streptococcus suis Infection Diagnosed by Metagenomic Next-Generation SequencingYuanyuan Dai0Li Chen1Wenjiao Chang2Huaiwei Lu3Peng Cui4Xiaoling Ma5Department of Clinical Laboratory, First Affiliated Hospital of University of Science and Technology of China, Hefei, ChinaDepartment of Clinical Laboratory, First Affiliated Hospital of University of Science and Technology of China, Hefei, ChinaDepartment of Clinical Laboratory, First Affiliated Hospital of University of Science and Technology of China, Hefei, ChinaDepartment of Clinical Laboratory, First Affiliated Hospital of University of Science and Technology of China, Hefei, ChinaInfectious Disease Research and Development, Beijing Genomics Institute-Shanghai, Shanghai, ChinaDepartment of Clinical Laboratory, First Affiliated Hospital of University of Science and Technology of China, Hefei, ChinaBackground:Streptococcus suis is a zoonotic pathogen that can cause severe infections such as meningitis and septicemia in both swine and humans. Rapid and accurate identification of the causative agent is very important for guiding clinical choices in administering countermeasures.Case Report: Here, we report a case of fatal S. suis infection in a patient who worked as a butcher in China. The 59-year-old man, who had previously undergone splenectomy, injured his finger while processing pork and developed severe sepsis. While blood cultures were negative following antibiotic treatment, S. suis was determined to be the causative agent by metagenomic next-generation sequencing (mNGS) and Sanger sequencing.Conclusion: Identification of etiological agents using techniques such as blood culture prior to antibiotic treatment is very important. mNGS may represent a useful method for diagnosis of infectious diseases, especially post-antibiotic treatment.https://www.frontiersin.org/article/10.3389/fpubh.2019.00379/fullStreptococcus suisbacteriastreptococcal toxic shock syndromemetagenomic next-generation sequencingblood culture
spellingShingle Yuanyuan Dai
Li Chen
Wenjiao Chang
Huaiwei Lu
Peng Cui
Xiaoling Ma
Culture-Negative Streptococcus suis Infection Diagnosed by Metagenomic Next-Generation Sequencing
Frontiers in Public Health
Streptococcus suis
bacteria
streptococcal toxic shock syndrome
metagenomic next-generation sequencing
blood culture
title Culture-Negative Streptococcus suis Infection Diagnosed by Metagenomic Next-Generation Sequencing
title_full Culture-Negative Streptococcus suis Infection Diagnosed by Metagenomic Next-Generation Sequencing
title_fullStr Culture-Negative Streptococcus suis Infection Diagnosed by Metagenomic Next-Generation Sequencing
title_full_unstemmed Culture-Negative Streptococcus suis Infection Diagnosed by Metagenomic Next-Generation Sequencing
title_short Culture-Negative Streptococcus suis Infection Diagnosed by Metagenomic Next-Generation Sequencing
title_sort culture negative streptococcus suis infection diagnosed by metagenomic next generation sequencing
topic Streptococcus suis
bacteria
streptococcal toxic shock syndrome
metagenomic next-generation sequencing
blood culture
url https://www.frontiersin.org/article/10.3389/fpubh.2019.00379/full
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AT huaiweilu culturenegativestreptococcussuisinfectiondiagnosedbymetagenomicnextgenerationsequencing
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