Diagnostic performance of the metagenomic next-generation sequencing in lung biopsy tissues in patients suspected of having a local pulmonary infection.

PURPOSE: This study aims to evaluate the diagnostic application and performance of the metagenomic next-generation sequencing (mNGS) in patients suspected of local pulmonary infection by comparing it to the traditional pathogen detection methods in lung tissue specimens obtained by a computerized tomography-guided biopsy (CT-guided biopsy). METHODS: We retrospectively reviewed patients, admitted to the First Affiliated Hospital of Wenzhou Medical University, China from May 2018 to December 2020, who were suspected of local pulmonary infection. All cases received a CT-guided lung biopsy, tissue samples were sent both for conventional examinations (CE) and mNGS tests. The sensitivity and specificity of the two diagnostic approaches were compared. RESULTS: 106 patients enrolled, 76 patients were diagnosed with a pulmonary infection. Among 49 patients with identified pathogens, CE confirmed pathogenic infections in 32 cases. Mycobacterium spp. and fungi accounted for 37.5% (12/32) and 28.1% (9/32), respectively, with bacteria 34.4% (11/32). The mNGS examination detected extra pathogenic microorganisms in 22 patients that were consistent with the patients' clinical and radiographic pictures. The sensitivity of mNGS was 53.9% vs. 42.1% for the CE, while the specificity was 56.7% versus 96.7%. For detection rate, mNGS was significantly superior to CE in bacterial (96.3% vs. 40.7%, p < 0.05), and mixed infections (100% vs. 50%, p < 0.05), but inferior to CE in fungal (60% vs. 90%, p > 0.05) and Mycobacterium spp. infections (66.7% vs. 100%, p > 0.05) with no significant difference. Among 31 cases diagnosed with lung abscess, the diagnostic performance of the detection rate was 67.7% (21/31) in favour of mNGS compared to 29.0% (9/31) for CE (p < 0.05). Most polymicrobial infections were induced by anaerobic species that coexisted with Streptococcus constellatus. And Klebsiella pneumoniae was the most common isolated monomicrobial infection. CONCLUSIONS: The most commonly detected causative pathogens for local pulmonary infections were bacteria, Mycobacterium spp. and fungi. Compared with the CE, the advantages of mNGS in the pathogens detection lie in the discovery of bacterial and mixed infections, as well as in the detection of lung abscess. Conversely, mNGS is not good enough to be recommendable for the detection of Mycobacterium spp. and fungi.

Synthesis and luminescent properties of novel BaGd2O4:Eu3+ scintillating phosphor.

BaGd2-x O4:xEu(3+) and Ba1-y Gd1.79-2y Eu0.21 Na3y O4 phosphors were synthesized at 1300°C in air by conventional solid-state reaction method. Phosphors were characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM), photoluminescence excitation (PLE) spectra, photoluminescence (PL) spectra and thermoluminescence (TL) spectra. Optimal PL intensity for BaGd2-x O4 :xEu(3+) and Ba1-y Gd1.79-2y Eu0.21 Na3y O4 phosphors at 276 nm excitation were found to be x = 0.24 and y = 0.125, respectively. The PL intensity of Eu(3+) emission could only be enhanced by 1.3 times with incorporation of Na(+) into the BaGd2 O4 host. Enhanced luminescence was attributed to the flux effect of Na(+) ions. However, when BaGd2 O4:Eu(3+) phosphors were codoped with Na(+) ions, the induced defects confirmed by TL spectra impaired the emission intensity of Eu(3+) ions.

Invasive aspergillosis presenting as hilar masses with stenosis of bronchus: A case report.

BACKGROUND: Hilar masses with stenosis of the bronchus occur mainly due to malignant diseases, such as lung cancer. Hilar masses resulting from invasive aspergillosis are extremely rare and occur mostly in severely immunosuppressed patients. CASE SUMMARY: In the current case report, we have documented a unique case of invasive aspergillosis presenting as a mass in the hilum and bronchial stenosis under bronchoscopy mimicking lung cancer in a 54-year-old man with diabetes mellitus. The histological analysis of bronchial membrane biopsy demonstrated fungal elements of 45° branching hyphae with positive Periodic Acid-Schiff and Grocott staining. After 3 mo of antifungal therapy, the symptoms, computed tomography scan and bronchoscopy manifestations all showed improvement. CONCLUSION: We highlight that clinicians should consider a diagnosis of invasive aspergillosis when radiological examination shows pseudotumor appearance in diabetes mellitus patients.

Catalytic functions of Mo/Ni/MgO in the synthesis of thin carbon nanotubes.

The functions and structures of Mo/Ni/MgO catalysts in the synthesis of carbon nanotubes (CNTs) have been investigated by transmission electron microscopy (TEM), X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), and Raman spectroscopy. Thin 2-5-walled CNTs with high purities (over 90%) have been successfully synthesized by catalytic decomposition of CH(4) over Mo/Ni/MgO catalysts at 1073 K. It has been found that the yield of CNTs as well as the outer diameter or thickness correlates well with the contents of these three elements. The three components Mo, Ni, and MgO are all necessary to synthesize the thin CNTs at high yields since no catalytic activity was observed for CNT synthesis when one of these components was not present. The outer diameter of the CNTs increases from 4 to 13 nm and the thickness of graphene layers also increases with increasing Mo content at a fixed Ni content, while the inner diameter stays at 2-3 nm regardless of their contents. Furthermore, the average outer diameter is in good agreement with the average particle size of metal catalyst. That is, the thickness or the outer diameter can be controlled by selecting the composition of the Mo/Ni/MgO catalysts. XRD analyses have shown that Mo and Ni form a Mo-Ni alloy before CNT synthesis, while the Mo-Ni alloy phase is separated into Mo carbide and Ni. These alloy particles are supported on MgO cubic particles 15-20 nm in width. It has been found that only small Mo-Ni alloy particles 2-16 nm in size catalyze CNT synthesis, with larger particles over 15 nm exhibiting no activity. Mo carbide and Ni should play different roles in the synthesis of the thin CNTs, in which Ni is responsible for the dissociation of CH(4) into carbon and Mo(2)C works as a carbon reservoir.