Next-Generation Sequencing for Diagnosis and Tailored Therapy: A Case Report of Astrovirus-Associated Progressive Encephalitis
Author(s) -
M.-L. Frémond,
Philippe Pérot,
Erika Muth,
Guilhem Cros,
Marine Dumarest,
Nizar Mahlaoui,
Danielle Seilhean,
Isabelle Desguerre,
C. Hébert,
Nicole Corre-Catelin,
Bénédicte Neven,
Marc Lecuit,
Stéphane Blanche,
Capucine Pïcard,
Marc Éloit
Publication year - 2015
Publication title -
journal of the pediatric infectious diseases society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.269
H-Index - 31
eISSN - 2048-7207
pISSN - 2048-7193
DOI - 10.1093/jpids/piv040
Subject(s) - medicine , astrovirus , brain biopsy , cerebrospinal fluid , encephalitis , dna sequencing , virology , polymerase chain reaction , biopsy , pediatrics , pathology , virus , genetics , gene , biology , rotavirus
A boy with X-linked agammaglobulinemia experienced progressive global motor decline, cerebellar syndrome, and epilepsy. All standard polymerase chain reactions for neurotropic viruses were negative on cerebrospinal fluid and brain biopsy. Next-generation sequencing allowed fast identification of a new astrovirus strain (HAstV-VA1/HMO-C-PA), which led to tailor the patient's treatment, with encouraging clinical monitoring over 1 year.
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