高通量测序在2例肾病综合征并发感染患者病原诊断中的应用
作者:
作者单位:

1.广州中医药大学第二临床医学院, 广东 广州 510000;2.广州中医药大学第二附属医院肾内科, 广东 广州 510120

作者简介:

通讯作者:

王立新  E-mail: wanglixin1210@163.com

中图分类号:

R515R519

基金项目:

国家自然科学基金青年科学基金项目(82104779)


Application of high-throughput sequencing in pathogenic diagnosis of 2 cases of nephrotic syndrome complicated infection
Author:
Affiliation:

1.The Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou 510000, China;2.Department of Nephrology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China

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    摘要:

    感染是肾病综合征患者常见的并发症之一, 也是导致患者死亡的重要原因。对感染病原菌进行早期、准确的诊断, 可利于针对性治疗, 改善患者预后。目前病原菌检测主要手段为培养法, 由于受到患者免疫功能低下及取样、检测方式等影响, 病原菌检测阳性率偏低。高通量测序技术以快速、灵敏、覆盖度广的优点有效补充了传统培养法的不足。本文通过报告利用高通量测序技术明确诊断肾病综合征并发隐球菌感染及嗜麦芽窄食单胞菌脑膜炎各1例, 提示高通量测序技术对于诊断传统病原菌培养阴性的肾病综合征并发感染具有显著的优势和极大的应用价值。

    Abstract:

    Infection is one of the common complications in patients with nephrotic syndrome, and it is also an important cause of death. Early and accurate diagnosis of infectious pathogens is helpful for targeted treatment and improving the prognosis of patients. Nowadays, the main method of pathogen detection is culture method, the positive rate of pathogen detection is low because of immunosuppression of patients and the influence of different sampling and detection methods. High-throughput sequencing technique effectively complements the shortcomings of traditional culture methods with its advantages of rapidness, sensitivity and wide coverage. This paper reports one case of nephrotic syndrome complicated with cryptococcal infection and one case complicated with Stenotrophomonas maltophilia meningitis confirmed by high-throughput sequencing, suggesting that high-throughput sequencing technique has significant advantages and great application value in the diagnosis of nephrotic syndrome complicated with infection which is negative through traditional pathogen culture.

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引用本文

陈树娟,李虎才,王立新.高通量测序在2例肾病综合征并发感染患者病原诊断中的应用[J]. 中国感染控制杂志,2022,(4):395-398. DOI:10.12138/j. issn.1671-9638.20222213.
Shu-juan CHEN, Hu-cai LI, Li-xin WANG. Application of high-throughput sequencing in pathogenic diagnosis of 2 cases of nephrotic syndrome complicated infection[J]. Chin J Infect Control, 2022,(4):395-398. DOI:10.12138/j. issn.1671-9638.20222213.

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  • 收稿日期:2021-12-08
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  • 在线发布日期: 2024-04-28
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