A patient with long-term diabetes dies following infection with Francisella novicida in Guangdong province, China: a case report

Abstract. The rarity of Francisella novicida infection in humans is well-known, and the F. novicida cases occur in immunocompromised patients or those with underlying health problems. Herein, we report the case of a patient with long-term diabetes who died following F. novicida infection that caused...

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Main Authors: Linjin Fan, Jialong Guan, Lizhi Feng, Yulong Wang, Huimin Zeng, Ying Zhu, Hao Li, Qiang Chen, Linghua Li, Jun Qian, Linna Liu, Yueping Li, Wei Zhao
Format: Article
Language:English
Published: Wolters Kluwer Health - Lippincott Williams Wilkins 2025-01-01
Series:​​​​​​​​Infectious Diseases & Immunity
Online Access:http://journals.lww.com/10.1097/ID9.0000000000000147
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author Linjin Fan
Jialong Guan
Lizhi Feng
Yulong Wang
Huimin Zeng
Ying Zhu
Hao Li
Qiang Chen
Linghua Li
Jun Qian
Linna Liu
Yueping Li
Wei Zhao
author_facet Linjin Fan
Jialong Guan
Lizhi Feng
Yulong Wang
Huimin Zeng
Ying Zhu
Hao Li
Qiang Chen
Linghua Li
Jun Qian
Linna Liu
Yueping Li
Wei Zhao
author_sort Linjin Fan
collection DOAJ
description Abstract. The rarity of Francisella novicida infection in humans is well-known, and the F. novicida cases occur in immunocompromised patients or those with underlying health problems. Herein, we report the case of a patient with long-term diabetes who died following F. novicida infection that caused multiple organ failure, although F. novicida was effectively eliminated using antimicrobial therapy. Microbiological confirmation of F. novicida infection relies on metagenomic next-generation sequencing (mNGS) and pdpD-2 gene-specific identification. This study highlights the importance of early pathogen diagnosis in severely infected patients, particularly in cases of F. novicida, and indicates that mNGS is a useful tool for early diagnosis.
format Article
id doaj-art-09ef9bbd9f1a4c7d9423f128e2cd011c
institution Kabale University
issn 2096-9511
2693-8839
language English
publishDate 2025-01-01
publisher Wolters Kluwer Health - Lippincott Williams Wilkins
record_format Article
series ​​​​​​​​Infectious Diseases & Immunity
spelling doaj-art-09ef9bbd9f1a4c7d9423f128e2cd011c2025-01-14T07:30:25ZengWolters Kluwer Health - Lippincott Williams Wilkins​​​​​​​​Infectious Diseases & Immunity2096-95112693-88392025-01-0151687110.1097/ID9.0000000000000147202501000-00008A patient with long-term diabetes dies following infection with Francisella novicida in Guangdong province, China: a case reportLinjin Fan0Jialong Guan1Lizhi Feng2Yulong Wang3Huimin Zeng4Ying Zhu5Hao Li6Qiang Chen7Linghua Li8Jun Qian9Linna Liu10Yueping Li11Wei Zhao1 Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China2 Institute of Infectious Diseases, Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou 510442, China2 Institute of Infectious Diseases, Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou 510442, China1 Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China2 Institute of Infectious Diseases, Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou 510442, China2 Institute of Infectious Diseases, Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou 510442, China2 Institute of Infectious Diseases, Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou 510442, China2 Institute of Infectious Diseases, Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou 510442, China2 Institute of Infectious Diseases, Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou 510442, China1 Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China2 Institute of Infectious Diseases, Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou 510442, China2 Institute of Infectious Diseases, Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou 510442, ChinaAbstract. The rarity of Francisella novicida infection in humans is well-known, and the F. novicida cases occur in immunocompromised patients or those with underlying health problems. Herein, we report the case of a patient with long-term diabetes who died following F. novicida infection that caused multiple organ failure, although F. novicida was effectively eliminated using antimicrobial therapy. Microbiological confirmation of F. novicida infection relies on metagenomic next-generation sequencing (mNGS) and pdpD-2 gene-specific identification. This study highlights the importance of early pathogen diagnosis in severely infected patients, particularly in cases of F. novicida, and indicates that mNGS is a useful tool for early diagnosis.http://journals.lww.com/10.1097/ID9.0000000000000147
spellingShingle Linjin Fan
Jialong Guan
Lizhi Feng
Yulong Wang
Huimin Zeng
Ying Zhu
Hao Li
Qiang Chen
Linghua Li
Jun Qian
Linna Liu
Yueping Li
Wei Zhao
A patient with long-term diabetes dies following infection with Francisella novicida in Guangdong province, China: a case report
​​​​​​​​Infectious Diseases & Immunity
title A patient with long-term diabetes dies following infection with Francisella novicida in Guangdong province, China: a case report
title_full A patient with long-term diabetes dies following infection with Francisella novicida in Guangdong province, China: a case report
title_fullStr A patient with long-term diabetes dies following infection with Francisella novicida in Guangdong province, China: a case report
title_full_unstemmed A patient with long-term diabetes dies following infection with Francisella novicida in Guangdong province, China: a case report
title_short A patient with long-term diabetes dies following infection with Francisella novicida in Guangdong province, China: a case report
title_sort patient with long term diabetes dies following infection with francisella novicida in guangdong province china a case report
url http://journals.lww.com/10.1097/ID9.0000000000000147
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