Metagenomic next-generation sequencing identified a brain abscess caused by mixed oral anaerobe infection: A case

Zepeng Ma1, Hui Liu2, Ming Liu2

  • 1Department of Microbiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250000, China.

Infectious Medicine
|June 7, 2024
PubMed

Insights

This study reports a rare anaerobic brain abscess caused by oral bacteria, including Fusobacterium vincentii. Metagenomic next-generation sequencing rapidly diagnosed the mixed infection, guiding treatment.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Microbiology

Background:

  • Brain abscesses are serious infections, often polymicrobial.
  • Anaerobic bacteria, particularly from oral flora, are implicated but Fusobacterium vincentii is rarely reported.

Purpose of the Study:

  • To report a case of a brain abscess caused by a unique combination of oral anaerobic bacteria.
  • To highlight the diagnostic utility of metagenomic next-generation sequencing (mNGS) in identifying causative pathogens.

Main Methods:

  • A patient with an anaerobic brain abscess was treated.
  • Metagenomic next-generation sequencing (mNGS) was employed for pathogen identification.
  • Clinical data and treatment outcomes were analyzed.

Main Results:

  • The brain abscess was caused by a polymicrobial infection including Parvimonas micra, Streptococcus constellatus, Fusobacterium vincentii, and Bacteroides heparinolyticus.
  • Fusobacterium vincentii was identified in a brain abscess for the first time.
  • mNGS provided rapid and comprehensive etiological diagnosis.

Conclusions:

  • Oral anaerobic bacteria, including Fusobacterium vincentii, can cause brain abscesses.
  • mNGS is a valuable tool for rapid diagnosis of brain abscesses and guiding antimicrobial therapy.

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