Rapid Diagnosis of Invasive Aspergillosis and Active Hepatitis-B Virus Co-Infection in a HIV-1 Infected Patient Using
Cell Free DNA Sequencing.
J Int Assoc Provid AIDS Care 2021;
19:2325958220976263. [PMID:
33251919 PMCID:
PMC7705773 DOI:
10.1177/2325958220976263]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Multiple simultaneous opportunistic infections in Human Immunodeficiency virus-1/Acquired
immunodeficiency syndrome (HIV-1/AIDS) is a known and dreaded occurrence that often leads
to poor outcomes. We present a case of disseminated aspergillosis and active Hepatitis-B
virus (HBV) infection in such a host, where cell free DNA (cfDNA) next generation
sequencing (NGS) of plasma was used to expedite diagnosis. Bronchoscopy was avoided and
treatment was started expeditiously. In this case report we discuss the interpretation of
the cfDNA NGS, and its potential role for early diagnosis and avoidance of invasive
testing.
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