Reactivation of Multidrug-Resistant HSV-1 in a Post–Allogenic Hematopoietic Stem Cell Transplant Patient: Dynamic Detection of the Rare A605V Mutation by Next-Generation Sequencing

Author:

Zheng Shuxuan1ORCID,Rümke Lidewij W1,Tello Rubio Bruno1,Rogers Malbert R C1,van Sluis Geerte L2,Kuball Jürgen H E2,Riezebos-Brilman Annelies1,Lebbink Robert Jan1,Verduyn Lunel Frans M1ORCID

Affiliation:

1. Department of Medical Microbiology, UMC Utrecht , Utrecht , The Netherlands

2. Department of Haematology UMC Utrecht , Utrecht , The Netherlands

Abstract

Abstract We present an immunocompromised patient with a multiresistant herpes simplex virus–1 reactivation with a rare mutation (A605V) in the viral DNA polymerase gene. Next-generation sequencing suggests the presence of multiple drug-resistant strains before treatment and altered ratios during treatment, affecting the clinical response to aciclovir and foscarnet.

Publisher

Oxford University Press (OUP)

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