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宏基因组二代测序诊断重症肺炎:2例病例报告

Diagnosis of severe pneumonia by metagenomic next-generation sequencing: 2 case reports.

作者信息

Luo Chunhua, Lin Yanping, Chen Chengwen, Liu Yuqi, Sun Xuri

机构信息

Department of Intensive Care Unit, The Second Affiliated Hospital of Fujian Medical University, 950 Donghai Street, Fengze District, Quanzhou City, Fujian Province, China.

Respiratory Medicine Center of Fujian Province, 950 Donghai Street, Fengze District, Quanzhou City, Fujian Province, China.

出版信息

Respir Med Case Rep. 2022 Jul 18;38:101709. doi: 10.1016/j.rmcr.2022.101709. eCollection 2022.

Abstract

Psittacosis is a infectious disease caused by , which presents as pneumonia in humans. The diagnosis of psittacosis is challenging, however, Metagenomic next-generation sequencing (MNGS) is very efficient. Herein we documented the clinical characteristics of two patients with severe pneumonia who were admitted to the Intensive Care Unit. nucleic acid sequences were detected by MNGS of bronchoalveolar lavage fluid from both patients. Doxycycline was administered and the treatment was effective. Implementation of MNGS is helpful for the early identification of pathogens, shortening the diagnosis and treatment time, and improving the prognosis of patients.

摘要

鹦鹉热是一种由……引起的传染病,在人类中表现为肺炎。然而,鹦鹉热的诊断具有挑战性,而宏基因组下一代测序(MNGS)非常有效。在此,我们记录了两名入住重症监护病房的重症肺炎患者的临床特征。通过对两名患者支气管肺泡灌洗 fluid 的 MNGS 检测到了……核酸序列。给予强力霉素治疗,治疗有效。实施 MNGS 有助于早期识别病原体,缩短诊断和治疗时间,并改善患者预后。

原文中部分关键信息缺失,如“由……引起”“……核酸序列”“bronchoalveolar lavage fluid”未完整表述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3c3/9304875/ccf40dc37490/gr1.jpg

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