Ultra-Deep High-Fidelity Sequencing Detects Rare Structural Variant Subpopulations in Multidrug-Resistant Pseudomonas aeruginosa from a Left Ventricular Assist Device Infection
Ultra-deep high-fidelity sequencing of a multidrug-resistant Pseudomonas aeruginosa isolate from a left ventricular assist device driveline infection uncovered rare structural variant subpopulations missed by conventional sequencing. Low-frequency deletions, duplications, and insertion events affected genes linked to pili formation, transport, and stress responses, highlighting hidden genomic diversity with potential implications for resistance, phage susceptibility, and device colonization.