Rapid diagnosis of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis by next-generation sequencing: a case report

Nocardia species do not replicate as rapidly as other pyogenic bacteria and nocardial infections can be highly fatal, particularly in immunocompromised patients. Here, we present the first report of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis diagnosed by next-generation...

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Main Authors: Fanfan Xing, Yao Xia, Qianyun Lu, Simon K. F. Lo, Susanna K. P. Lau, Patrick C. Y. Woo
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1226126/full
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author Fanfan Xing
Yao Xia
Qianyun Lu
Simon K. F. Lo
Susanna K. P. Lau
Patrick C. Y. Woo
Patrick C. Y. Woo
Patrick C. Y. Woo
author_facet Fanfan Xing
Yao Xia
Qianyun Lu
Simon K. F. Lo
Susanna K. P. Lau
Patrick C. Y. Woo
Patrick C. Y. Woo
Patrick C. Y. Woo
author_sort Fanfan Xing
collection DOAJ
description Nocardia species do not replicate as rapidly as other pyogenic bacteria and nocardial infections can be highly fatal, particularly in immunocompromised patients. Here, we present the first report of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis diagnosed by next-generation sequencing (NGS) using the Oxford Nanopore Technologies' MinION device. The bacterium was not identified by matrix-assisted laser desorption ionization-time of flight mass spectrometry. Due to its low equipment cost, short turn-around-time, and portable size, the Oxford Nanopore Technologies' MinION device is a useful platform for NGS in routine clinical microbiology laboratories.
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spelling doaj.art-8f1c6ac74a6640c2a2bc866e94a1aeb72023-07-18T10:03:23ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-07-011010.3389/fmed.2023.12261261226126Rapid diagnosis of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis by next-generation sequencing: a case reportFanfan Xing0Yao Xia1Qianyun Lu2Simon K. F. Lo3Susanna K. P. Lau4Patrick C. Y. Woo5Patrick C. Y. Woo6Patrick C. Y. Woo7Department of Clinical Microbiology and Infection Control, The University of Hong Kong—Shenzhen Hospital, Shenzhen, ChinaDepartment of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, ChinaDepartment of Clinical Microbiology and Infection Control, The University of Hong Kong—Shenzhen Hospital, Shenzhen, ChinaDepartment of Clinical Microbiology and Infection Control, The University of Hong Kong—Shenzhen Hospital, Shenzhen, ChinaDepartment of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, ChinaDepartment of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, ChinaDoctoral Program in Translational Medicine and Department of Life Sciences, National Chung Hsing University, Taichung, TaiwanThe iEGG and Animal Biotechnology Research Center, National Chung Hsing University, Taichung, TaiwanNocardia species do not replicate as rapidly as other pyogenic bacteria and nocardial infections can be highly fatal, particularly in immunocompromised patients. Here, we present the first report of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis diagnosed by next-generation sequencing (NGS) using the Oxford Nanopore Technologies' MinION device. The bacterium was not identified by matrix-assisted laser desorption ionization-time of flight mass spectrometry. Due to its low equipment cost, short turn-around-time, and portable size, the Oxford Nanopore Technologies' MinION device is a useful platform for NGS in routine clinical microbiology laboratories.https://www.frontiersin.org/articles/10.3389/fmed.2023.1226126/fullNocardia kroppenstedtiiimmunocompromised patientsnext-generation sequencingOxford NanoporeMinION
spellingShingle Fanfan Xing
Yao Xia
Qianyun Lu
Simon K. F. Lo
Susanna K. P. Lau
Patrick C. Y. Woo
Patrick C. Y. Woo
Patrick C. Y. Woo
Rapid diagnosis of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis by next-generation sequencing: a case report
Frontiers in Medicine
Nocardia kroppenstedtii
immunocompromised patients
next-generation sequencing
Oxford Nanopore
MinION
title Rapid diagnosis of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis by next-generation sequencing: a case report
title_full Rapid diagnosis of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis by next-generation sequencing: a case report
title_fullStr Rapid diagnosis of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis by next-generation sequencing: a case report
title_full_unstemmed Rapid diagnosis of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis by next-generation sequencing: a case report
title_short Rapid diagnosis of fatal Nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis by next-generation sequencing: a case report
title_sort rapid diagnosis of fatal nocardia kroppenstedtii bacteremic pneumonia and empyema thoracis by next generation sequencing a case report
topic Nocardia kroppenstedtii
immunocompromised patients
next-generation sequencing
Oxford Nanopore
MinION
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1226126/full
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