Display options
Share it on

Open Forum Infect Dis. 2017 Jun 13;4(3):ofx121. doi: 10.1093/ofid/ofx121. eCollection 2017.

Hepatitis E Virus-Associated Meningoencephalitis in a Lung Transplant Recipient Diagnosed by Clinical Metagenomic Sequencing.

Open forum infectious diseases

Jamie A Murkey, Kara W Chew, Margrit Carlson, Chelsea L Shannon, Deepika Sirohi, Hannah A Sample, Michael R Wilson, Paul Vespa, Romney M Humphries, Steve Miller, Jeffrey D Klausner, Charles Y Chiu

Affiliations

  1. Department of Medicine.
  2. Department of Laboratory Medicine.
  3. Department of Biochemistry and Biophysics.
  4. Weill Institute for Neurosciences, Department of Neurology.
  5. Department of Neurology, and.
  6. Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at University of California, Los Angeles; and.
  7. UCSF-Abbott Viral Diagnostics and Discovery Center and Department of Medicine, and.
  8. Department of Medicine, Division of Infectious Diseases, University of California, San Francisco.

PMID: 28721353 PMCID: PMC5508774 DOI: 10.1093/ofid/ofx121

Abstract

Hepatitis E virus (HEV) infection uncommonly causes chronic hepatitis and neurologic disease. We describe a case of genotype 3a HEV meningoencephalitis diagnosed by metagenomic next-generation sequencing, illustrating the power of an unbiased molecular approach to microbial testing and the first reported case of HEV infection presumably acquired through lung transplantation.

Keywords: encephalitis; hepatitis E virus; lung transplant; meningitis; metagenomic next-generation sequencing (mNGS).

References

  1. Liver Int. 2008 Nov;28(9):1190-9 - PubMed
  2. J Viral Hepat. 2016 Nov;23 (11):930-939 - PubMed
  3. J Hepatol. 2012 Feb;56(2):500-2 - PubMed
  4. J Infect Dis. 2014 Jun 15;209(12):1900-6 - PubMed
  5. Lancet. 2014 Nov 15;384(9956):1766-73 - PubMed
  6. Transpl Infect Dis. 2017 Feb;19(1):null - PubMed
  7. J Pediatric Infect Dis Soc. 2017 Jan 6;:null - PubMed
  8. J Hepatol. 2017 Jan;66(1):242-243 - PubMed
  9. Emerg Infect Dis. 2011 Feb;17 (2):173-9 - PubMed
  10. Viruses. 2016 Aug 15;8(8):null - PubMed
  11. Genome Res. 2014 Jul;24(7):1180-92 - PubMed
  12. Emerg Infect Dis. 2012 May;18(5):869-72 - PubMed
  13. N Engl J Med. 2008 Feb 21;358(8):811-7 - PubMed
  14. Gastroenterology. 2011 May;140(5):1481-9 - PubMed
  15. Arch Pathol Lab Med. 2017 Jun;141(6):776-786 - PubMed

Publication Types

Grant support