Metagenomic shotgun sequencing of blood to identify bacteria and viruses in leukemic febrile neutropenia

Despite diagnostic advances in microbiology, the etiology of neutropenic fever remains elusive in most cases. In this study, we evaluated the utility of a metagenomic shotgun sequencing based assay for detection of bacteria and viruses in blood samples of patients with febrile neutropenia. We prospe...

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Main Authors: Prakhar Vijayvargiya, Adeline Feri, Mathilde Mairey, Cécile Rouillon, Patricio R. Jeraldo, Zerelda Esquer Garrigos, Matthew J. Thoendel, Kerryl E. Greenwood-Quaintance, M. Rizwan Sohail, Priya Sampathkumar, Megan T. Spychalla, A. K. Stewart, Mrinal M. Patnaik, Aaron J. Tande, Stéphane Cruveiller, Irene Hannet, Pascale Beurdeley, Robin Patel
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9202879/?tool=EBI
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author Prakhar Vijayvargiya
Adeline Feri
Mathilde Mairey
Cécile Rouillon
Patricio R. Jeraldo
Zerelda Esquer Garrigos
Matthew J. Thoendel
Kerryl E. Greenwood-Quaintance
M. Rizwan Sohail
Priya Sampathkumar
Megan T. Spychalla
A. K. Stewart
Mrinal M. Patnaik
Aaron J. Tande
Stéphane Cruveiller
Irene Hannet
Pascale Beurdeley
Robin Patel
author_facet Prakhar Vijayvargiya
Adeline Feri
Mathilde Mairey
Cécile Rouillon
Patricio R. Jeraldo
Zerelda Esquer Garrigos
Matthew J. Thoendel
Kerryl E. Greenwood-Quaintance
M. Rizwan Sohail
Priya Sampathkumar
Megan T. Spychalla
A. K. Stewart
Mrinal M. Patnaik
Aaron J. Tande
Stéphane Cruveiller
Irene Hannet
Pascale Beurdeley
Robin Patel
author_sort Prakhar Vijayvargiya
collection DOAJ
description Despite diagnostic advances in microbiology, the etiology of neutropenic fever remains elusive in most cases. In this study, we evaluated the utility of a metagenomic shotgun sequencing based assay for detection of bacteria and viruses in blood samples of patients with febrile neutropenia. We prospectively enrolled 20 acute leukemia patients and obtained blood from these patients at three time points: 1) anytime from onset of neutropenia until before development of neutropenic fever, 2) within 24 hours of onset of neutropenic fever, 3) 5–7 days after onset of neutropenic fever. Blood samples underwent sample preparation, sequencing and analysis using the iDTECT® Dx Blood v1® platform (PathoQuest, Paris, France). Clinically relevant viruses or bacteria were detected in three cases each by metagenomic shotgun sequencing and blood cultures, albeit with no concordance between the two. Further optimization of sample preparation methods and sequencing platforms is needed before widespread adoption of this technology into clinical practice.
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spelling doaj.art-acb1b0a449e04e588d7ad314dd5cd4a72022-12-22T03:32:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176Metagenomic shotgun sequencing of blood to identify bacteria and viruses in leukemic febrile neutropeniaPrakhar VijayvargiyaAdeline FeriMathilde MaireyCécile RouillonPatricio R. JeraldoZerelda Esquer GarrigosMatthew J. ThoendelKerryl E. Greenwood-QuaintanceM. Rizwan SohailPriya SampathkumarMegan T. SpychallaA. K. StewartMrinal M. PatnaikAaron J. TandeStéphane CruveillerIrene HannetPascale BeurdeleyRobin PatelDespite diagnostic advances in microbiology, the etiology of neutropenic fever remains elusive in most cases. In this study, we evaluated the utility of a metagenomic shotgun sequencing based assay for detection of bacteria and viruses in blood samples of patients with febrile neutropenia. We prospectively enrolled 20 acute leukemia patients and obtained blood from these patients at three time points: 1) anytime from onset of neutropenia until before development of neutropenic fever, 2) within 24 hours of onset of neutropenic fever, 3) 5–7 days after onset of neutropenic fever. Blood samples underwent sample preparation, sequencing and analysis using the iDTECT® Dx Blood v1® platform (PathoQuest, Paris, France). Clinically relevant viruses or bacteria were detected in three cases each by metagenomic shotgun sequencing and blood cultures, albeit with no concordance between the two. Further optimization of sample preparation methods and sequencing platforms is needed before widespread adoption of this technology into clinical practice.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9202879/?tool=EBI
spellingShingle Prakhar Vijayvargiya
Adeline Feri
Mathilde Mairey
Cécile Rouillon
Patricio R. Jeraldo
Zerelda Esquer Garrigos
Matthew J. Thoendel
Kerryl E. Greenwood-Quaintance
M. Rizwan Sohail
Priya Sampathkumar
Megan T. Spychalla
A. K. Stewart
Mrinal M. Patnaik
Aaron J. Tande
Stéphane Cruveiller
Irene Hannet
Pascale Beurdeley
Robin Patel
Metagenomic shotgun sequencing of blood to identify bacteria and viruses in leukemic febrile neutropenia
PLoS ONE
title Metagenomic shotgun sequencing of blood to identify bacteria and viruses in leukemic febrile neutropenia
title_full Metagenomic shotgun sequencing of blood to identify bacteria and viruses in leukemic febrile neutropenia
title_fullStr Metagenomic shotgun sequencing of blood to identify bacteria and viruses in leukemic febrile neutropenia
title_full_unstemmed Metagenomic shotgun sequencing of blood to identify bacteria and viruses in leukemic febrile neutropenia
title_short Metagenomic shotgun sequencing of blood to identify bacteria and viruses in leukemic febrile neutropenia
title_sort metagenomic shotgun sequencing of blood to identify bacteria and viruses in leukemic febrile neutropenia
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9202879/?tool=EBI
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