2012
DOI: 10.1128/jcm.06715-11
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Detection of a Possible Bioterrorism Agent, Francisella sp., in a Clinical Specimen by Use of Next-Generation Direct DNA Sequencing

Abstract: Deep sequencing detected a potential bioterrorism agent, Francisella tularensis, in a human abscess sample (Iwaki-08) of unknown etiology. Identified single-nucleotide variations suggest that the Iwaki-08 case was associated with Francisella tularensis subsp. holarctica (biovar japonica) but not the highly virulent type A (Francisella tularensis subsp. tularensis). CASE REPORT

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Cited by 42 publications
(29 citation statements)
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“…holarctica. This conclusion is consistent with recent reports of tularemia in which case definitions contained compatible clinical symptoms and positive F. tularensis real-time PCR or DNA sequencing (Maurin et al, 2011;Kuroda et al, 2012).…”
Section: Resultssupporting
confidence: 92%
“…holarctica. This conclusion is consistent with recent reports of tularemia in which case definitions contained compatible clinical symptoms and positive F. tularensis real-time PCR or DNA sequencing (Maurin et al, 2011;Kuroda et al, 2012).…”
Section: Resultssupporting
confidence: 92%
“…Pus samples were aspirated from the enlarged lymph node of the patient 44 days after disease onset (9). The remaining hare carcass was recovered from a plastic trash box placed outside the patient's house 65 days after skinning and butchering the animal, and the decomposed muscles were subjected to DNA extraction.…”
mentioning
confidence: 99%
“…holarctica, which is endemic to Japan, by PCR ( Fig. 1) and direct DNA sequencing performed using the Illumina GAIIx system (Illumina, San Diego, Calif., USA) (9).…”
mentioning
confidence: 99%
“…NGS has also been used to detect strain-specific polymorphism in B. anthracis and Y. pestis 47 . Next-generation direct DNA sequencing could detect F. tularensis in a human abscess sample of unknown etiology 48 . Recently, targeted amplification approach has been described for detection of bio-threat agents by NGS 49 .…”
Section: Next Generation Sequencingmentioning
confidence: 99%