Article Metagenomic Shotgun Sequencing Analysis of Canalicular Concretions in Lacrimal Canaliculitis Cases Yukinobu Okajima 1,*, Takashi Suzuki 1, Chika Miyazaki 2, Satoshi Goto 3, Sho Ishikawa 4 , Yuka Suzuki 1, Kotaro Aoki 5 , Yoshikazu Ishii 5, Kazuhiro Tateda 5 and Yuichi Hori 1 1 Department of Ophthalmology, Toho University, 6-11-1 Omori-nishi, Ota-ku, Tokyo 143-8541, Japan;
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[email protected] (Y.H.) 2 Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashi-nanba cho, Amagasaki 661-0892, Japan;
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[email protected]; Tel.: +81-3-3762-4151; Fax: +81-3-3298-0030 Abstract: Lacrimal canaliculitis is a rare infection of the lacrimal canaliculi with canalicular con- cretions formed by aggregation of organisms. Metagenomic shotgun sequencing analysis using next-generation sequencing has been used to detect pathogens directly from clinical samples. Using Citation: Okajima, Y.; Suzuki, T.; this technology, we report cases of successful pathogen detection of canalicular concretions in lacrimal Miyazaki, C.; Goto, S.; Ishikawa, S.; canaliculitis cases.