Viral metagenomic analysis of cerebrospinal fluid from patients with acute central nervous system infections of unknown origin, Vietnam

Central nervous system (CNS) infection is a serious neurologic condition, although the etiology remains unknown in >50% of patients. We used metagenomic next-generation sequencing to detect viruses in 204 cerebrospinal fluid (CSF) samples from patients with acute CNS infection who were enrolled f...

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Main Authors: Anh, NT, Nhu, LNT, Hong, NTT, Phuc, TM, Tam, PTT, Huong, DT, Anh, TT, Deng, X, Nghia, HDT, Nguyen, TT, Van Hung, N, Thuan, ND, Phuong, PTH, Chau, NVV, Baker, S, Delwart, E, Thwaites, G, Van Tan, L, VIZIONS Consortium1
Format: Journal article
Language:English
Published: Centers for Disease Control and Prevention 2020
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author Anh, NT
Nhu, LNT
Hong, NTT
Phuc, TM
Tam, PTT
Huong, DT
Anh, TT
Deng, X
Nghia, HDT
Nguyen, TT
Van Hung, N
Thuan, ND
Phuong, PTH
Chau, NVV
Baker, S
Delwart, E
Thwaites, G
Van Tan, L
VIZIONS Consortium1
author_facet Anh, NT
Nhu, LNT
Hong, NTT
Phuc, TM
Tam, PTT
Huong, DT
Anh, TT
Deng, X
Nghia, HDT
Nguyen, TT
Van Hung, N
Thuan, ND
Phuong, PTH
Chau, NVV
Baker, S
Delwart, E
Thwaites, G
Van Tan, L
VIZIONS Consortium1
author_sort Anh, NT
collection OXFORD
description Central nervous system (CNS) infection is a serious neurologic condition, although the etiology remains unknown in >50% of patients. We used metagenomic next-generation sequencing to detect viruses in 204 cerebrospinal fluid (CSF) samples from patients with acute CNS infection who were enrolled from Vietnam hospitals during 2012–2016. We detected 8 viral species in 107/204 (52.4%) of CSF samples. After virus-specific PCR confirmation, the detection rate was lowered to 30/204 (14.7%). Enteroviruses were the most common viruses detected (n = 23), followed by hepatitis B virus (3), HIV (2), molluscum contagiosum virus (1), and gemycircularvirus (1). Analysis of enterovirus sequences revealed the predominance of echovirus 30 (9). Phylogenetically, the echovirus 30 strains belonged to genogroup V and VIIb. Our results expanded knowledge about the clinical burden of enterovirus in Vietnam and underscore the challenges of identifying a plausible viral pathogen in CSF of patients with CNS infections.
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spelling oxford-uuid:9d0ed3de-5248-4a94-ab8a-c793f63d0bce2022-03-27T00:40:23ZViral metagenomic analysis of cerebrospinal fluid from patients with acute central nervous system infections of unknown origin, VietnamJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:9d0ed3de-5248-4a94-ab8a-c793f63d0bceEnglishSymplectic ElementsCenters for Disease Control and Prevention2020Anh, NTNhu, LNTHong, NTTPhuc, TMTam, PTTHuong, DTAnh, TTDeng, XNghia, HDTNguyen, TTVan Hung, NThuan, NDPhuong, PTHChau, NVVBaker, SDelwart, EThwaites, GVan Tan, LVIZIONS Consortium1Central nervous system (CNS) infection is a serious neurologic condition, although the etiology remains unknown in >50% of patients. We used metagenomic next-generation sequencing to detect viruses in 204 cerebrospinal fluid (CSF) samples from patients with acute CNS infection who were enrolled from Vietnam hospitals during 2012–2016. We detected 8 viral species in 107/204 (52.4%) of CSF samples. After virus-specific PCR confirmation, the detection rate was lowered to 30/204 (14.7%). Enteroviruses were the most common viruses detected (n = 23), followed by hepatitis B virus (3), HIV (2), molluscum contagiosum virus (1), and gemycircularvirus (1). Analysis of enterovirus sequences revealed the predominance of echovirus 30 (9). Phylogenetically, the echovirus 30 strains belonged to genogroup V and VIIb. Our results expanded knowledge about the clinical burden of enterovirus in Vietnam and underscore the challenges of identifying a plausible viral pathogen in CSF of patients with CNS infections.
spellingShingle Anh, NT
Nhu, LNT
Hong, NTT
Phuc, TM
Tam, PTT
Huong, DT
Anh, TT
Deng, X
Nghia, HDT
Nguyen, TT
Van Hung, N
Thuan, ND
Phuong, PTH
Chau, NVV
Baker, S
Delwart, E
Thwaites, G
Van Tan, L
VIZIONS Consortium1
Viral metagenomic analysis of cerebrospinal fluid from patients with acute central nervous system infections of unknown origin, Vietnam
title Viral metagenomic analysis of cerebrospinal fluid from patients with acute central nervous system infections of unknown origin, Vietnam
title_full Viral metagenomic analysis of cerebrospinal fluid from patients with acute central nervous system infections of unknown origin, Vietnam
title_fullStr Viral metagenomic analysis of cerebrospinal fluid from patients with acute central nervous system infections of unknown origin, Vietnam
title_full_unstemmed Viral metagenomic analysis of cerebrospinal fluid from patients with acute central nervous system infections of unknown origin, Vietnam
title_short Viral metagenomic analysis of cerebrospinal fluid from patients with acute central nervous system infections of unknown origin, Vietnam
title_sort viral metagenomic analysis of cerebrospinal fluid from patients with acute central nervous system infections of unknown origin vietnam
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