2020
DOI: 10.1093/ofid/ofaa111
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Contact Transmission of Vaccinia to an Infant Diagnosed by Viral Culture and Metagenomic Sequencing

Abstract: Targeted molecular diagnostic tests and accurate immunoassays have transformed the landscape of clinical virology, calling into question the usefulness of traditional viral culture. Here we present a case where viral culture, followed by metagenomic sequencing, was central to the diagnosis of an unexpected viral infection, with significant clinical and public health implications.

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Cited by 6 publications
(4 citation statements)
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“…Thus, a wide range of pathogens not covered by common NAATs can be detected through viral culture methods. 61 , 68 Furthermore, the viral variability or genetic mutations that may contribute to false NAATs negative results are less impacted by culture growth. 69 For different viruses infections, in situations of prolonged viral shedding, culture assays are important to determining virus infectivity and phenotypic antiviral susceptibility.…”
Section: Resultsmentioning
confidence: 99%
“…Thus, a wide range of pathogens not covered by common NAATs can be detected through viral culture methods. 61 , 68 Furthermore, the viral variability or genetic mutations that may contribute to false NAATs negative results are less impacted by culture growth. 69 For different viruses infections, in situations of prolonged viral shedding, culture assays are important to determining virus infectivity and phenotypic antiviral susceptibility.…”
Section: Resultsmentioning
confidence: 99%
“…While conventional viral culture is more laborious and resource intensive, its utility during novel pathogen outbreaks should not be dismissed ( 11 ). Viral culture can detect a wide range of pathogens not covered by common NAATs and isolate viruses that may not have been part of a provider’s original differential diagnosis ( 12 ). Furthermore, culture growth is less impacted by strain variability or genetic mutations that may contribute to false negative results by NAATs ( 13 ).…”
Section: Introductionmentioning
confidence: 99%
“…Viral culture can detect a wide range of pathogens not covered by common NAATs and isolate viruses that may not have been part of a provider’s original differential diagnosis. (11). Furthermore, culture growth is less impacted by strain variability or genetic mutations that may contribute to false negative results by NAATs (12).…”
Section: Introductionmentioning
confidence: 99%