首页|宏基因组二代测序技术辅助诊断中枢神经系统贝氏柯克斯体感染性血管炎1例

宏基因组二代测序技术辅助诊断中枢神经系统贝氏柯克斯体感染性血管炎1例

扫码查看
Q热是由贝氏柯克斯体感染引起的人畜共患病,临床表现多样且无特异性,贝氏柯克斯体颅内感染罕见,经常被误诊和漏诊,导致部分患者预后不佳。此文报告1例宏基因组二代测序(mNGS)技术辅助诊断的中枢神经系统贝氏柯克斯体颅内感染性血管炎病例,提示mNGS技术在Q热快速诊断中起到重要作用,通过早期诊断,精准治疗,明显改善患者预后。在此基础上回顾国内外相关文献,总结贝氏柯克斯体颅内感染的临床表现和诊治经验,供国内外同行参考。
Diagnosis on central nervous system Coxiella burnetii infectious vasculitis assisted by metagenomic next-generation sequencing technique:one case report
Q fever is a zoonotic disease caused by Coxiella burnetii,with diverse and non-specific clinical manifes-tations.Intracranial infection caused by Coxiella burnetii is rare and is often misdiagnosed and underdiagnosed,leading to poor prognosis in some patients.This article reports a case of central nervous system intracranial infec-tious vasculitis caused by Coxiella burnetii through diagnosis assisted by metagenomic next-generation sequencing(mNGS)technique,indicating that mNGS technique plays an important role in rapid diagnosis of Q fever.After early diagnosis and precise treatment,the prognosis of patient was improved significantly.On this basis,relevant literatures at home and abroad are reviewed to summarize the clinical manifestations as well as diagnosis and treatment experience of intracranial infection caused by Coxiella burnetii,providing reference for domestic and foreign peers.

Q feverCoxiella burnetiiinfectious vasculitismetagenomic next-generation sequencingmNGS

蔡衍珊、刘子凡

展开 >

广州市疾病预防控制中心艾滋病预防控制部,广东广州 510440

广州市疾病预防控制中心广州医科大学公共卫生研究院,广东广州 510440

广州医科大学附属第三医院神经内科,广东广州 510150

Q热 贝氏柯克斯体 感染性血管炎 宏基因组二代测序 mNGS

2024

中国感染控制杂志
中南大学

中国感染控制杂志

CSTPCD北大核心
影响因子:2.112
ISSN:1671-9638
年,卷(期):2024.23(5)
  • 9