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病例报告:通过超高深度测序在一名患有2019冠状病毒病和神经功能障碍的患者的脑脊液中鉴定出严重急性呼吸综合征冠状病毒2型

Case Report: Identification of SARS-CoV-2 in Cerebrospinal Fluid by Ultrahigh-Depth Sequencing in a Patient With Coronavirus Disease 2019 and Neurological Dysfunction.

作者信息

Xiang Pan, Xu Xinmin, Lu Xin, Gao Lili, Wang Huizhu, Li Zhenpeng, Xiong Haofeng, Li Ruihong, Xiong Yanwen, Pu Lin, Qin Tian, Jin Fangfang, Ren Hongyu, Li Chuansheng, Yang Jing, Zhang Ming, Gong Jie, Chen Xiaoping, Zheng Han, Tan Jianbo, Sun Yao, Zhao Fei, Hou Xuexin, Liu Yufeng, Guo Hebing, Hao Jingjing, Kan Biao, Zhou Haijian, Wang Yajie, Liu Jingyuan

机构信息

Department of Critical Care Medicine, Beijing Ditan Hospital, Capital Medical University, Beijing, China.

Department of Clinical Laboratory, Beijing Ditan Hospital, Capital Medical University, Beijing, China.

出版信息

Front Med (Lausanne). 2021 Feb 22;8:629828. doi: 10.3389/fmed.2021.629828. eCollection 2021.

Abstract

We reported that the complete genome sequence of SARS-Coronavirus-2 (SARS-CoV-2) was obtained from a cerebrospinal fluid (CSF) sample by ultrahigh-depth sequencing. Fourteen days after onset, seizures, maxillofacial convulsions, intractable hiccups and a significant increase in intracranial pressure developed in an adult coronavirus disease 2019 patient. The complete genome sequence of SARS-CoV-2 obtained from the cerebrospinal fluid indicates that SARS-CoV-2 can invade the central nervous system. In future, along with nervous system assessment, the pathogen genome detection and other indicators are needed for studying possible nervous system infection of SARS-CoV-2.

摘要

我们报告称,通过超高深度测序从一份脑脊液(CSF)样本中获得了严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的完整基因组序列。一名成年2019冠状病毒病患者发病14天后出现癫痫发作、颌面抽搐、顽固性呃逆以及颅内压显著升高。从脑脊液中获得的SARS-CoV-2完整基因组序列表明,SARS-CoV-2可侵袭中枢神经系统。未来,在研究SARS-CoV-2可能的神经系统感染时,除了进行神经系统评估外,还需要进行病原体基因组检测及其他指标的检测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a48/7937706/a8d3beaa5dd9/fmed-08-629828-g0001.jpg

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