Bacterial and Fungal Infections Promote the Bone Erosion Progression in Acquired Cholesteatoma Revealed by Metagenomic Next-Generation Sequencing

An acquired cholesteatoma generally occurs as a consequence of otitis media and eustachian tube dysfunction. Patients with acquired cholesteatoma generally present with chronic otorrhea and progressive conductive hearing loss. There are many microbes reportedly associated with acquired cholesteatoma...

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Autores principales: Hua Jiang, Chengpeng Wu, Jingjie Xu, Qi Wang, Lei Shen, Xunyan Ou, Hongyan Liu, Xu Han, Jun Wang, Wenchao Ding, Lidan Hu, Xiangjun Chen
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:519fbe952b594a4f8f504ae45bfb1f612021-11-05T16:47:10ZBacterial and Fungal Infections Promote the Bone Erosion Progression in Acquired Cholesteatoma Revealed by Metagenomic Next-Generation Sequencing1664-302X10.3389/fmicb.2021.761111https://doaj.org/article/519fbe952b594a4f8f504ae45bfb1f612021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmicb.2021.761111/fullhttps://doaj.org/toc/1664-302XAn acquired cholesteatoma generally occurs as a consequence of otitis media and eustachian tube dysfunction. Patients with acquired cholesteatoma generally present with chronic otorrhea and progressive conductive hearing loss. There are many microbes reportedly associated with acquired cholesteatoma. However, conventional culture-based techniques show a typically low detection rate for various pathogenetic bacteria and fungi. Metagenomic next-generation sequencing (mNGS), an emerging powerful platform offering higher sensitivity and higher throughput for evaluating many samples at once, remains to be studied in acquired cholesteatoma. In this study, 16 consecutive patients from January 2020 to January 2021 at the Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU) were reviewed. We detected a total of 31 microbial species in patients, mNGS provided a higher detection rate compared to culture (100% vs. 31.25%, p = 0.000034). As the severity of the patient’s pathological condition worsens, the more complex types of microbes were identified. The most commonly detected microbial genus was Aspergillus (9/16, 56.25%), especially in patients suffering from severe bone erosion. In summary, mNGS improves the sensibility to identify pathogens of cholesteatoma patients, and Aspergillus infections increase bone destruction in acquired cholesteatoma.Hua JiangChengpeng WuJingjie XuQi WangLei ShenXunyan OuHongyan LiuXu HanJun WangWenchao DingLidan HuXiangjun ChenXiangjun ChenFrontiers Media S.A.articleacquired cholesteatomametagenomic next-generation sequencing (mNGS)microbesinfectionAspergillusMicrobiologyQR1-502ENFrontiers in Microbiology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic acquired cholesteatoma
metagenomic next-generation sequencing (mNGS)
microbes
infection
Aspergillus
Microbiology
QR1-502
spellingShingle acquired cholesteatoma
metagenomic next-generation sequencing (mNGS)
microbes
infection
Aspergillus
Microbiology
QR1-502
Hua Jiang
Chengpeng Wu
Jingjie Xu
Qi Wang
Lei Shen
Xunyan Ou
Hongyan Liu
Xu Han
Jun Wang
Wenchao Ding
Lidan Hu
Xiangjun Chen
Xiangjun Chen
Bacterial and Fungal Infections Promote the Bone Erosion Progression in Acquired Cholesteatoma Revealed by Metagenomic Next-Generation Sequencing
description An acquired cholesteatoma generally occurs as a consequence of otitis media and eustachian tube dysfunction. Patients with acquired cholesteatoma generally present with chronic otorrhea and progressive conductive hearing loss. There are many microbes reportedly associated with acquired cholesteatoma. However, conventional culture-based techniques show a typically low detection rate for various pathogenetic bacteria and fungi. Metagenomic next-generation sequencing (mNGS), an emerging powerful platform offering higher sensitivity and higher throughput for evaluating many samples at once, remains to be studied in acquired cholesteatoma. In this study, 16 consecutive patients from January 2020 to January 2021 at the Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU) were reviewed. We detected a total of 31 microbial species in patients, mNGS provided a higher detection rate compared to culture (100% vs. 31.25%, p = 0.000034). As the severity of the patient’s pathological condition worsens, the more complex types of microbes were identified. The most commonly detected microbial genus was Aspergillus (9/16, 56.25%), especially in patients suffering from severe bone erosion. In summary, mNGS improves the sensibility to identify pathogens of cholesteatoma patients, and Aspergillus infections increase bone destruction in acquired cholesteatoma.
format article
author Hua Jiang
Chengpeng Wu
Jingjie Xu
Qi Wang
Lei Shen
Xunyan Ou
Hongyan Liu
Xu Han
Jun Wang
Wenchao Ding
Lidan Hu
Xiangjun Chen
Xiangjun Chen
author_facet Hua Jiang
Chengpeng Wu
Jingjie Xu
Qi Wang
Lei Shen
Xunyan Ou
Hongyan Liu
Xu Han
Jun Wang
Wenchao Ding
Lidan Hu
Xiangjun Chen
Xiangjun Chen
author_sort Hua Jiang
title Bacterial and Fungal Infections Promote the Bone Erosion Progression in Acquired Cholesteatoma Revealed by Metagenomic Next-Generation Sequencing
title_short Bacterial and Fungal Infections Promote the Bone Erosion Progression in Acquired Cholesteatoma Revealed by Metagenomic Next-Generation Sequencing
title_full Bacterial and Fungal Infections Promote the Bone Erosion Progression in Acquired Cholesteatoma Revealed by Metagenomic Next-Generation Sequencing
title_fullStr Bacterial and Fungal Infections Promote the Bone Erosion Progression in Acquired Cholesteatoma Revealed by Metagenomic Next-Generation Sequencing
title_full_unstemmed Bacterial and Fungal Infections Promote the Bone Erosion Progression in Acquired Cholesteatoma Revealed by Metagenomic Next-Generation Sequencing
title_sort bacterial and fungal infections promote the bone erosion progression in acquired cholesteatoma revealed by metagenomic next-generation sequencing
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/519fbe952b594a4f8f504ae45bfb1f61
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