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Review | Open Access

Rare Infectious Diseases: Detection and Clinical Implications

Xin Qian1, Yuxin Zhang1, Yilin Ye1, Qiange Lin1, Junyou Lin1, Xinrong Lu2, Li Chen2( ), Guiqin Sun1 ( )
School of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou, China
Department of Medical Microbiology and Parasitology, Key Laboratory of Medical Molecular Virology of Ministries of Education and National Health Committee, School of Basic Medical Sciences, Fudan University, Shanghai, China
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Abstract

Rare infectious diseases are infections that are uncommon, have a low incidence, and are caused by newly emerging pathogens, cross‐species or ectopic infections, or host immunodeficiencies. The detection and diagnosis of rare infections is one of the main reasons for misdiagnosis and missed diagnosis. Traditional detection techniques such as microbial cultivation and isolation or polymerase chain reaction often fail to meet the clinical demands for timeliness, accuracy, and sensitivity. Metagenomic next‐generation sequencing involves pan‐nucleic acid testing conducted directly using specimens to facilitate rapid identification of rare or unidentified pathogens. Despite the availability of various techniques, advanced methods in clinical practice are necessary to achieve timely clinical diagnosis of rare infections. In this review, we summarize the definition and clinical significance of rare infectious diseases as well as the current detection methods, limitations, and future research areas for their detection.

Graphical Abstract

Rare infectious diseases are infections that are uncommon, have a low incidence, and are caused by newly emerging pathogens, cross‐species or ectopic infections, or host immunodeficiencies. The detection and diagnosis of rare infections is one of the main reasons for misdiagnosis and missed diagnosis. This text summarize the definition and clinical significance importance of rare infectious diseases as well as the current detection methods, limitations, and future research areas for their detection.

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iLABMED
Pages 148-157

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Cite this article:
Qian X, Zhang Y, Ye Y, et al. Rare Infectious Diseases: Detection and Clinical Implications. iLABMED, 2025, 3(2): 148-157. https://doi.org/10.1002/ila2.70019

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Received: 11 November 2024
Revised: 11 February 2025
Accepted: 24 March 2025
Published: 30 May 2025
© 2025 The Author(s). Tsinghua University Press.

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.