Table 1 Symptomatic patients with CMV identified by rWGS pipeline.

From: Diagnosis of cytomegalovirus infection from clinical whole genome sequencing

Patient ID

CMV reads (#)

Age

Genetic diagnosis

Patient description

Standard care testing for CMV

TCP

Hep

AVT

Hearing test

Patient 1

3

8 d

Dursun syndrome

Profound neutropenia and cerebral infarct

NT

Yes

No

No

Passed

Patient 2

1,654

6 m

None found

Kaposiform hemangio-endothelioma with pneumocystis pneumonia

CMV plasma PCR negative. CMV serology positive. CMV in lungs on histopathology

Yes

Yes

No

NT

Patient 3

2

9 m

None found

Transient pancytopenia, megaloblastic

NT

Yes

No

No

NT

Patient 4

2

4 d

ASLD

Liver failure

NT

Yes

Yes

No

Passed

Patient 5

634

2 m

Ebstein anomaly

Ebstein anomaly status post heart transplant

Positive plasma PCR (1,892 IU/mL)

Yes

Yes

Yes

Passed

Patient 6

8

13 y

GPA

GPA with disseminated mucormycosis infection

Positive qualitative plasma PCR and bronchoalveolar lavage

Yes

Yes

No

NT

  1. ASLD arginosuccinate lyase deficiency, D days, M months, Y years, GPA granulomatous polyangiitis, TCP thrombocytopenia, Hep. Hepatitis, AVT antiviral treatment, NT not tested.