Internal Medicine, University of Mississippi University Hospital, Jackson, Mississippi, USA
The University of Mississippi Medical Center, Jackson, Mississippi, USA.
BMJ Case Rep. 2024 Jul 29;17(7):e260638. doi: 10.1136/bcr-2024-260638.
SummaryWe describe a case of culture-negative infective endocarditis due to , where the application of metagenomics shotgun sequencing in blood played a pivotal role in elucidating the underlying aetiology, guiding targeted therapy and ultimately resulting in the patient's complete recovery. Beyond its immediate clinical impact, prompt treatment bears significant implications for public health. The utilisation of molecular testing emerges as a valuable strategy to enhance diagnostic accuracy, particularly in cases involving fastidious organisms that are infrequently associated with infective endocarditis.
我们描述了一例由 引起的培养阴性感染性心内膜炎病例,宏基因组测序在血液中的应用在阐明潜在病因、指导靶向治疗方面发挥了关键作用,最终使患者完全康复。除了其直接的临床影响外,及时治疗对公共卫生也具有重要意义。分子检测的应用是提高诊断准确性的一种有价值的策略,特别是在涉及与感染性心内膜炎关联不频繁的难培养病原体的情况下。