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Published in: Journal of NeuroVirology 2/2020

01-04-2020 | Herpes Virus | Case Report

Next-generation sequencing technology as a powerful detection and semi-quantitative method for herpes simplex virus type 1 in pediatric encephalitis

Authors: Lin-lin Liu, Ling-yun Guo, Jie Dong, Wen-hua Huang, Li Zhao, Bing Liu, Xi-xi Zhang, Yong-qiang Jiang, Gang Liu

Published in: Journal of NeuroVirology | Issue 2/2020

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Abstract

This case report presents a 1-year-old boy from China, with sudden onset of fever, convulsion, and sleepiness, screened for viral DNA in blood and cerebrospinal fluid (CSF) sample using next-generation sequencing (NGS) to diagnose herpes simplex virus type 1 (HSV-1) encephalitis, further validated by PCR. After acyclovir treatment, the patient’s symptom disappeared and HSV-1 DNA unique reads decreased from 4290 to zero in CSF, and from 23 to zero in blood detected by NGS. The clinical presentation and outcome were consistent with the pathogenic diagnostic results of NGS. NGS of CSF samples can be used as a diagnostic assay for HSV-1 encephalitis and also might be a semi-quantitative method for evaluation of treatment effect.
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Literature
go back to reference De Tiège X, Rozenberg F, Des Portes V, Lobut JB, Lebon P, Ponsot G, Héron B (2003) Herpes simplex encephalitis relapses in children: differentiation of two neurologic entities. Neurology 61(2):241–243CrossRefPubMed De Tiège X, Rozenberg F, Des Portes V, Lobut JB, Lebon P, Ponsot G, Héron B (2003) Herpes simplex encephalitis relapses in children: differentiation of two neurologic entities. Neurology 61(2):241–243CrossRefPubMed
go back to reference Fujii H, Kakiuchi S, Tsuji M, Nishimura H, Yoshikawa T, Yamada S, Omura N, Inagaki T, Shibamura M, Harada S, Taniguchi S, Saijo M (2018) Application of next-generation sequencing to detect acyclovir-resistant herpes simplex virus type 1 variants at low frequency in thymidine kinase gene of the isolates recovered from patients with hematopoietic stem cell transplantation. J Virol Methods 251:123–128. https://doi.org/10.1016/j.jviromet.2017.10.019 CrossRefPubMed Fujii H, Kakiuchi S, Tsuji M, Nishimura H, Yoshikawa T, Yamada S, Omura N, Inagaki T, Shibamura M, Harada S, Taniguchi S, Saijo M (2018) Application of next-generation sequencing to detect acyclovir-resistant herpes simplex virus type 1 variants at low frequency in thymidine kinase gene of the isolates recovered from patients with hematopoietic stem cell transplantation. J Virol Methods 251:123–128. https://​doi.​org/​10.​1016/​j.​jviromet.​2017.​10.​019 CrossRefPubMed
go back to reference Granerod J, Ambrose HE, Davies NW, Clewley JP, Walsh AL, Morgan D, Cunningham R, Zuckerman M, Mutton KJ, Solomon T, Ward KN, Lunn MP, Irani SR, Vincent A, Brown DW, Crowcroft NS, UK Health Protection Agency (HPA) Aetiology of Encephalitis Study Group (2010) Causes of encephalitis and differences in their clinical presentations in England: a multicentre, population based prospective study. Lancet Infect Dis 10:835–844. https://doi.org/10.1016/S1473-3099(10)70222-X CrossRefPubMed Granerod J, Ambrose HE, Davies NW, Clewley JP, Walsh AL, Morgan D, Cunningham R, Zuckerman M, Mutton KJ, Solomon T, Ward KN, Lunn MP, Irani SR, Vincent A, Brown DW, Crowcroft NS, UK Health Protection Agency (HPA) Aetiology of Encephalitis Study Group (2010) Causes of encephalitis and differences in their clinical presentations in England: a multicentre, population based prospective study. Lancet Infect Dis 10:835–844. https://​doi.​org/​10.​1016/​S1473-3099(10)70222-X CrossRefPubMed
go back to reference Inagaki T, Satoh M, Fujii H, Yamada S, Shibamura M, Yoshikawa T, Harada S, Takeyama H, Saijo M (2018) Acyclovir sensitivity and neurovirulence of herpes simplex virus type 1 with amino acid substitutions in the viral thymidine kinase gene, which were detected in the patients with intractable herpes simplex encephalitis previously reported. Jpn J Infect Dis 71(5):343–349. https://doi.org/10.7883/yoken.JJID.2018.176 CrossRefPubMed Inagaki T, Satoh M, Fujii H, Yamada S, Shibamura M, Yoshikawa T, Harada S, Takeyama H, Saijo M (2018) Acyclovir sensitivity and neurovirulence of herpes simplex virus type 1 with amino acid substitutions in the viral thymidine kinase gene, which were detected in the patients with intractable herpes simplex encephalitis previously reported. Jpn J Infect Dis 71(5):343–349. https://​doi.​org/​10.​7883/​yoken.​JJID.​2018.​176 CrossRefPubMed
go back to reference Tunkel AR, Glaser CA, Bloch KC, Sejvar JJ, Marra CM, Roos KL, Hartman BJ, Kaplan SL, Scheld WM, Whitley RJ, Infectious Diseases Society of America (2008) The management of encephalitis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis 47(3):303–327. https://doi.org/10.1086/589747 CrossRefPubMed Tunkel AR, Glaser CA, Bloch KC, Sejvar JJ, Marra CM, Roos KL, Hartman BJ, Kaplan SL, Scheld WM, Whitley RJ, Infectious Diseases Society of America (2008) The management of encephalitis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis 47(3):303–327. https://​doi.​org/​10.​1086/​589747 CrossRefPubMed
go back to reference Valencia I, Miles DK, Melvin J, Khurana D, Kothare S, Hardison H, Legido A (2004) Relapse of herpes encephalitis after acyclovir therapy: report of two new cases and review of the literature. Neuropediatrics 35:371–376CrossRefPubMed Valencia I, Miles DK, Melvin J, Khurana D, Kothare S, Hardison H, Legido A (2004) Relapse of herpes encephalitis after acyclovir therapy: report of two new cases and review of the literature. Neuropediatrics 35:371–376CrossRefPubMed
go back to reference Wilson MR, Naccache SN, Samayoa E, Biagtan M, Bashir H, Yu G, Salamat SM, Somasekar S, Federman S, Miller S, Sokolic R, Garabedian E, Candotti F, Buckley RH, Reed KD, Meyer TL, Seroogy CM, Galloway R, Henderson SL, Gern JE, DeRisi JL, Chiu CY (2014) Actionable diagnosis of neuroleptospirosis by next-generation sequencing. N Engl J Med 370:2408–2417. https://doi.org/10.1056/NEJMoa1401268 CrossRefPubMedPubMedCentral Wilson MR, Naccache SN, Samayoa E, Biagtan M, Bashir H, Yu G, Salamat SM, Somasekar S, Federman S, Miller S, Sokolic R, Garabedian E, Candotti F, Buckley RH, Reed KD, Meyer TL, Seroogy CM, Galloway R, Henderson SL, Gern JE, DeRisi JL, Chiu CY (2014) Actionable diagnosis of neuroleptospirosis by next-generation sequencing. N Engl J Med 370:2408–2417. https://​doi.​org/​10.​1056/​NEJMoa1401268 CrossRefPubMedPubMedCentral
go back to reference Wilson MR, Sample HA, Zorn KC, Arevalo S, Yu G, Neuhaus J, Federman S, Stryke D, Briggs B, Langelier C, Berger A, Douglas V, Josephson SA, Chow FC, Fulton BD, DeRisi JL, Gelfand JM, Naccache SN, Bender J, Dien Bard J, Murkey J, Carlson M, Vespa PM, Vijayan T, Allyn PR, Campeau S, Humphries RM, Klausner JD, Ganzon CD, Memar F, Ocampo NA, Zimmermann LL, Cohen SH, Polage CR, DeBiasi RL, Haller B, Dallas R, Maron G, Hayden R, Messacar K, Dominguez SR, Miller S, Chiu CY (2019) Clinical metagenomic sequencing for diagnosis of meningitis and encephalitis. N Engl J Med 380(24):2327–2340. https://doi.org/10.1056/NEJMoa1803396 CrossRefPubMedPubMedCentral Wilson MR, Sample HA, Zorn KC, Arevalo S, Yu G, Neuhaus J, Federman S, Stryke D, Briggs B, Langelier C, Berger A, Douglas V, Josephson SA, Chow FC, Fulton BD, DeRisi JL, Gelfand JM, Naccache SN, Bender J, Dien Bard J, Murkey J, Carlson M, Vespa PM, Vijayan T, Allyn PR, Campeau S, Humphries RM, Klausner JD, Ganzon CD, Memar F, Ocampo NA, Zimmermann LL, Cohen SH, Polage CR, DeBiasi RL, Haller B, Dallas R, Maron G, Hayden R, Messacar K, Dominguez SR, Miller S, Chiu CY (2019) Clinical metagenomic sequencing for diagnosis of meningitis and encephalitis. N Engl J Med 380(24):2327–2340. https://​doi.​org/​10.​1056/​NEJMoa1803396 CrossRefPubMedPubMedCentral
Metadata
Title
Next-generation sequencing technology as a powerful detection and semi-quantitative method for herpes simplex virus type 1 in pediatric encephalitis
Authors
Lin-lin Liu
Ling-yun Guo
Jie Dong
Wen-hua Huang
Li Zhao
Bing Liu
Xi-xi Zhang
Yong-qiang Jiang
Gang Liu
Publication date
01-04-2020
Publisher
Springer International Publishing
Published in
Journal of NeuroVirology / Issue 2/2020
Print ISSN: 1355-0284
Electronic ISSN: 1538-2443
DOI
https://doi.org/10.1007/s13365-019-00803-5

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