A Clinical Case of Scrub Typhus in the United States Forces Korea Patient with Eschar and Genetic Identification of <i>Orientia tsutsugamushi</i> Using Multiplex PCR-Based Next-Generation Sequencing
An epidemiological investigation was conducted for a scrub typhus case reported in a U.S. Forces Korea military patient in the Republic of Korea in November 2018. The patient had a fever, maculopapular rash, and an eschar. The full-length sequence of <i>Orientia tsutsugamushi</i> 56-kDa...
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2021-04-01
|
Series: | Pathogens |
Subjects: | |
Online Access: | https://www.mdpi.com/2076-0817/10/4/424 |
_version_ | 1797538968653266944 |
---|---|
author | Seungchan Cho Jon C. Allison Kkothanahreum Park Jin Sun No Seung-Ho Lee Kyungmin Park Jongwoo Kim Terry A. Klein Heung-Chul Kim Won-Keun Kim Jin-Won Song |
author_facet | Seungchan Cho Jon C. Allison Kkothanahreum Park Jin Sun No Seung-Ho Lee Kyungmin Park Jongwoo Kim Terry A. Klein Heung-Chul Kim Won-Keun Kim Jin-Won Song |
author_sort | Seungchan Cho |
collection | DOAJ |
description | An epidemiological investigation was conducted for a scrub typhus case reported in a U.S. Forces Korea military patient in the Republic of Korea in November 2018. The patient had a fever, maculopapular rash, and an eschar. The full-length sequence of <i>Orientia tsutsugamushi</i> 56-kDa type-specific antigen (TSA) gene was obtained from eschar tissue by multiplex PCR-based Next Generation Sequencing for genetic identification. Based on the 56-kDa TSA gene, the <i>O. tsutsugamushi</i> aligned most closely with the Boryong strain. |
first_indexed | 2024-03-10T12:38:44Z |
format | Article |
id | doaj.art-841a2bb52ad34b09bb05ee1b5eded435 |
institution | Directory Open Access Journal |
issn | 2076-0817 |
language | English |
last_indexed | 2024-03-10T12:38:44Z |
publishDate | 2021-04-01 |
publisher | MDPI AG |
record_format | Article |
series | Pathogens |
spelling | doaj.art-841a2bb52ad34b09bb05ee1b5eded4352023-11-21T14:01:30ZengMDPI AGPathogens2076-08172021-04-0110442410.3390/pathogens10040424A Clinical Case of Scrub Typhus in the United States Forces Korea Patient with Eschar and Genetic Identification of <i>Orientia tsutsugamushi</i> Using Multiplex PCR-Based Next-Generation SequencingSeungchan Cho0Jon C. Allison1Kkothanahreum Park2Jin Sun No3Seung-Ho Lee4Kyungmin Park5Jongwoo Kim6Terry A. Klein7Heung-Chul Kim8Won-Keun Kim9Jin-Won Song10Department of Microbiology, College of Medicine, Korea University, Seoul 02841, KoreaForce Health Protection and Preventive Medicine, MEDDAC-Korea, 65th Medical Brigade, Unit 15281, APO AP 96251-5281, USADepartment of Microbiology, College of Medicine, Korea University, Seoul 02841, KoreaDepartment of Microbiology, College of Medicine, Korea University, Seoul 02841, KoreaDepartment of Microbiology, College of Medicine, Korea University, Seoul 02841, KoreaDepartment of Microbiology, College of Medicine, Korea University, Seoul 02841, KoreaDepartment of Microbiology, College of Medicine, Korea University, Seoul 02841, KoreaForce Health Protection and Preventive Medicine, MEDDAC-Korea, 65th Medical Brigade, Unit 15281, APO AP 96251-5281, USAForce Health Protection and Preventive Medicine, MEDDAC-Korea, 65th Medical Brigade, Unit 15281, APO AP 96251-5281, USADepartment of Microbiology, College of Medicine, Hallym University, Chuncheon 24252, KoreaDepartment of Microbiology, College of Medicine, Korea University, Seoul 02841, KoreaAn epidemiological investigation was conducted for a scrub typhus case reported in a U.S. Forces Korea military patient in the Republic of Korea in November 2018. The patient had a fever, maculopapular rash, and an eschar. The full-length sequence of <i>Orientia tsutsugamushi</i> 56-kDa type-specific antigen (TSA) gene was obtained from eschar tissue by multiplex PCR-based Next Generation Sequencing for genetic identification. Based on the 56-kDa TSA gene, the <i>O. tsutsugamushi</i> aligned most closely with the Boryong strain.https://www.mdpi.com/2076-0817/10/4/424<i>Orientia tsutsugamushi</i>scrub typhusgenetic identificationtarget enrichment next-generation sequencing |
spellingShingle | Seungchan Cho Jon C. Allison Kkothanahreum Park Jin Sun No Seung-Ho Lee Kyungmin Park Jongwoo Kim Terry A. Klein Heung-Chul Kim Won-Keun Kim Jin-Won Song A Clinical Case of Scrub Typhus in the United States Forces Korea Patient with Eschar and Genetic Identification of <i>Orientia tsutsugamushi</i> Using Multiplex PCR-Based Next-Generation Sequencing Pathogens <i>Orientia tsutsugamushi</i> scrub typhus genetic identification target enrichment next-generation sequencing |
title | A Clinical Case of Scrub Typhus in the United States Forces Korea Patient with Eschar and Genetic Identification of <i>Orientia tsutsugamushi</i> Using Multiplex PCR-Based Next-Generation Sequencing |
title_full | A Clinical Case of Scrub Typhus in the United States Forces Korea Patient with Eschar and Genetic Identification of <i>Orientia tsutsugamushi</i> Using Multiplex PCR-Based Next-Generation Sequencing |
title_fullStr | A Clinical Case of Scrub Typhus in the United States Forces Korea Patient with Eschar and Genetic Identification of <i>Orientia tsutsugamushi</i> Using Multiplex PCR-Based Next-Generation Sequencing |
title_full_unstemmed | A Clinical Case of Scrub Typhus in the United States Forces Korea Patient with Eschar and Genetic Identification of <i>Orientia tsutsugamushi</i> Using Multiplex PCR-Based Next-Generation Sequencing |
title_short | A Clinical Case of Scrub Typhus in the United States Forces Korea Patient with Eschar and Genetic Identification of <i>Orientia tsutsugamushi</i> Using Multiplex PCR-Based Next-Generation Sequencing |
title_sort | clinical case of scrub typhus in the united states forces korea patient with eschar and genetic identification of i orientia tsutsugamushi i using multiplex pcr based next generation sequencing |
topic | <i>Orientia tsutsugamushi</i> scrub typhus genetic identification target enrichment next-generation sequencing |
url | https://www.mdpi.com/2076-0817/10/4/424 |
work_keys_str_mv | AT seungchancho aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT joncallison aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT kkothanahreumpark aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT jinsunno aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT seungholee aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT kyungminpark aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT jongwookim aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT terryaklein aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT heungchulkim aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT wonkeunkim aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT jinwonsong aclinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT seungchancho clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT joncallison clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT kkothanahreumpark clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT jinsunno clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT seungholee clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT kyungminpark clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT jongwookim clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT terryaklein clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT heungchulkim clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT wonkeunkim clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing AT jinwonsong clinicalcaseofscrubtyphusintheunitedstatesforceskoreapatientwithescharandgeneticidentificationofiorientiatsutsugamushiiusingmultiplexpcrbasednextgenerationsequencing |