Daily Fungal Cell-Free DNA Testing to Assess Clinical Status during Candida krusei Fungemia

Autor: Jo-Anne H. Young, Xiaoying Liu, Emma Porter, Hannah Sweet, Wei Wang, Anton F. Evans, Chi Zhang, Karam M. Obeid
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Fungi, Vol 10, Iss 7, p 449 (2024)
Druh dokumentu: article
ISSN: 2309-608X
DOI: 10.3390/jof10070449
Popis: We present a case of a man immunocompromised due to myelodysplastic syndrome with Candida krusei fungemia who had a rising cell-free DNA (cfDNA) giant magnetoresistance (GMR) signal when tested daily using plasma blood samples. With the rise in GMR signal paralleling the development of skin lesions in this patient, we conclude that cfDNA can be used to indicate uncontrolled infection and thus help monitor response to therapy. This index patient provides evidence that an invasive fungal infection requires both direct antifungal therapy and an intact immune system to control the infection. This biosensing platform has been simplified to potentially serve as a point-of-care test, setting it apart by overcoming the three common barriers of cfDNA testing: complexity, cost, and time.
Databáze: Directory of Open Access Journals
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