Modern Solutions for Ancient Pathogens: Direct Pathogen Sequencing for Diagnosis of Lepromatous Leprosy and Cerebral Coenurosis

Author:

Young Bernadette C12ORCID,Bush Stephen J1,Lipworth Sam1,George Sophie1,Dingle Kate E1,Sanderson Nick1,Brankin Alice1,Walker Timothy3,Sharma Srilakshmi4,Leong James4,Plaha Puneet5,Hofer Monika6,Chiodini Peter7,Gottstein B8,Furrer Lavinia8,Crook Derrick129,Brent Andrew12

Affiliation:

1. Experimental Medicine Division, Nuffield Department of Medicine, University of Oxford, John Radcliffe Hospital , Oxford , United Kingdom

2. Microbiology and Infectious Diseases Department, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital , Oxford , United Kingdom

3. Oxford University Clinical Research Unit , Ho Chi Minh City , Vietnam

4. Oxford Eye Hospital, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital , Oxford , United Kingdom

5. Nuffield Department of Surgical Sciences, University of Oxford, John Radcliffe Hospital , Oxford , United Kingdom

6. Department of Neuropathology, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital , Oxford , United Kingdom

7. Hospital of Tropical Diseases and the London School of Hygiene and Tropical Medicine London , London , United Kingdom

8. Institute for Infectious Diseases, University of Bern , Bern , Switzerland

9. National Institute for Health Research Oxford Biomedical Research Centre , Oxford , United Kingdom

Abstract

Abstract Microbes unculturable in vitro remain diagnostically challenging, dependent historically on clinical findings, histology, or targeted molecular detection. We applied whole-genome sequencing directly from tissue to diagnose infections with mycobacteria (leprosy) and parasites (coenurosis). Direct pathogen DNA sequencing provides flexible solutions to diagnosis of difficult pathogens in diverse contexts.

Funder

National Institute for Health Research

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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