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Published on: September 27, 2018
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.
Abstract:
Fusobacterium vincentii brain abscesses are relatively rare. Here, we report our treatment of an anaerobic brain abscess caused by a mixed infection of Parvimonas micra, Streptococcus constellatus, Fusobacterium vincentii, and Bacteroides heparinolyticus diagnosed by metagenomic next-generation sequencing (mNGS). This is the first reported case of Fusobacterium vincentii in a brain abscess. This case highlights the possibility that oral anaerobic microbes can cause a brain abscess and demonstrates that mNGS has the potential to be deployed to provide rapid infection diagnosis and rationalize antimicrobial therapy for brain abscesses.
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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