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Meta-transcriptomic identification of hepatitis B virus in cerebrospinal fluid in patients with central nervous system disease

Pettersson, John, 1981- (author)
Uppsala universitet,Institutionen för medicinsk biokemi och mikrobiologi
Piorkowski, Geraldine (author)
UVE Aix Marseille Univ, Inserm 1207, IRD 190, IHU Mediterranee Infect,Unite Virus Emergents, Marseille, France
Mayxay, Mayfong (author)
Mahosot Hosp, Lao Oxford Mahosot Hosp, Microbiol Lab, Wellcome Trust Res Unit LOMWRU, Viangchan, Laos;Univ Hlth Sci, IRED, Viangchan, Laos;Univ Oxford, Ctr Trop Med & Global Hlth, Churchill Hosp, Nuffield Dept Med, Oxford, England
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Rattanavong, Sayaphet (author)
Mahosot Hosp, Lao Oxford Mahosot Hosp, Microbiol Lab, Wellcome Trust Res Unit LOMWRU, Viangchan, Laos
Vongsouvath, Manivanh (author)
Mahosot Hosp, Lao Oxford Mahosot Hosp, Microbiol Lab, Wellcome Trust Res Unit LOMWRU, Viangchan, Laos
Davong, Viengmon (author)
Mahosot Hosp, Lao Oxford Mahosot Hosp, Microbiol Lab, Wellcome Trust Res Unit LOMWRU, Viangchan, Laos
Alfsnes, Kristian (author)
Norwegian Inst Publ Hlth, Infect Dis & Environm Hlth, Lovisenberggata 8, N-0456 Oslo, Norway
Eldholm, Vegard (author)
Norwegian Inst Publ Hlth, Infect Dis & Environm Hlth, Lovisenberggata 8, N-0456 Oslo, Norway
de Lamballerie, Xavier (author)
UVE Aix Marseille Univ, Inserm 1207, IRD 190, IHU Mediterranee Infect,Unite Virus Emergents, Marseille, France
Holmes, Edward C. (author)
Univ Sydney, Charles Perkins Ctr, Sch Life & Environm Sci, Marie Bashir Inst Infect Dis & Biosecur, Sydney, NSW, Australia;Univ Sydney, Sydney Med Sch, Sydney, NSW, Australia
Newton, Paul N. (author)
Mahosot Hosp, Lao Oxford Mahosot Hosp, Microbiol Lab, Wellcome Trust Res Unit LOMWRU, Viangchan, Laos;Univ Oxford, Ctr Trop Med & Global Hlth, Churchill Hosp, Nuffield Dept Med, Oxford, England
Dubot-Peres, Audrey (author)
UVE Aix Marseille Univ, Inserm 1207, IRD 190, IHU Mediterranee Infect,Unite Virus Emergents, Marseille, France;Mahosot Hosp, Lao Oxford Mahosot Hosp, Microbiol Lab, Wellcome Trust Res Unit LOMWRU, Viangchan, Laos;Univ Oxford, Ctr Trop Med & Global Hlth, Churchill Hosp, Nuffield Dept Med, Oxford, England
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 (creator_code:org_t)
ELSEVIER SCIENCE INC, 2019
2019
English.
In: Diagnostic microbiology and infectious disease. - : ELSEVIER SCIENCE INC. - 0732-8893 .- 1879-0070. ; 95:4
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Determining the etiological basis of central nervous system (CNS) infections is inherently challenging, primarily due to the multi-etiological nature. Using RNA sequencing, we aimed to identify microbes present in cerebrospinal fluid (CSF) of two patients suffering CNS infection, previously diagnosed with Cryptococcus sp. and Streptococcus pneumoniae infection, respectively. After meta-transcriptomic analysis, and confirmation with real-time PCR, hepatitis B virus (HBV) was detected in the CSF of two patients diagnosed with CNS syndrome. Phylogenetic analysis of the partial HBV genomes from these patients showed that they belonged to genotypes B and C and clustered with other viruses of Asian origin. In countries with high levels of HBV endemicity, the virus is likely to be found in patients diagnosed with CNS infections, although whether it contributes to symptoms and pathology, or is simply a coincidental infection, is unknown and merits further investigation. (C) 2019 The Authors. Published by Elsevier Inc.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Infektionsmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Infectious Medicine (hsv//eng)

Keyword

Hepatitis B virus
RNA sequencing
Meta-transcriptomics
Cerebrospinal fluid
Encephalitis

Publication and Content Type

ref (subject category)
art (subject category)

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