Frontiers in Pediatrics (Dec 2022)

Plasma cell free next-generation sequencing detects an unusual pneumonia pathogen in an immunocompetent adolescent with acute respiratory distress syndrome

  • Katherine M. Rodriguez,
  • Katherine M. Rodriguez,
  • Nanda Ramchandar,
  • Nanda Ramchandar,
  • Nicole G. Coufal,
  • Nicole G. Coufal

DOI
https://doi.org/10.3389/fped.2022.1034632
Journal volume & issue
Vol. 10

Abstract

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This case details a rapid diagnosis of legionella pneumonia causing severe acute respiratory distress syndrome (ARDS) in an otherwise healthy adolescent through plasma microbial cell-free DNA next generation sequencing (mcfDNA-NGS). Diagnosis by mcfDNA-NGS of this unexpected pathogen led to narrowing of antimicrobials and the addition of glucocorticoids as adjunctive therapy for ARDS.

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