Understanding Meningococcal Diseases

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Introduction

Neisseria meningitidis is a gram-negative bacterial pathogen which is hosted only by humans and colonizes nasopharynx. It is the leading cause of bacterial meningitis and meningococcal infections worldwide. Over half a million meningococcal cases occur annually and causes large epidemic and endemic outbreaks. Thus, meningococcal infection is one of the top ten infectious cause of death in the whole world (Tzeng & Stephens, 2000). Although the bacterium causes numerous human diseases, the most often associated with serious consequences are meningitis and meningococcemia (severe sepsis). Meningitis usually develops within a week and causes the list of symptoms such as nausea, vomiting, eye sensitivity to light, fever, headache, and stiff neck. The meningococcemia is characterized by fever and rash (petechial or purpuric), malaise, vomiting, drowsiness, hypotension, acute adrenal hemorrhage, multiorgan failure, and shock (Centers for control disease and prevention, 2005). Also, meningococcal disease include pneumonia, conjunctivitis, urethritis, sinusitis, otitis, septic arthritis, and purulent pericarditis, where 10-15% of cases are fatal, and 10% of the patients who recover, usually have hearing loss (Ferguson et al., 2002).

History of meningococci

Weichselbaum was the first person who identified the bacterium from the cerebrospinal fluid of a person who suffered from meningitis. While the first descriptions of meningococcal meningitis were made in the early 19th century in Switzerland by Vieusseux (1805), in Massachusetts by Danielson and Mann (1806), and in the early 20th century in Africa. In the nineteenth century, meningococcal infections were treated using serum therapy and sulfonamides introduced by Flex...

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Oppenheim, B. (1997). Antibiotic resistance in Neisseria meningitidis. Clinical Infectious Diseases: An Official Publication Of The Infectious Diseases Society Of America, 24 Suppl 1S98-S101. Retrieved from: http://cid.oxfordjournals.org/content/24/Supplement_1/S98.full.pdf

Rouphael, N.G. & Stephens, S.S. (2012). Neisseria meningitidis: Biology, Microbiology, and Epidemiology. Neisseria meningitidis: Advanced Methods and Protocols, Methods in Molecular Biology. 799: 1-20. Retrieved from: http://download.springer.com/static/pdf/954/chp%253A10.1007%252F978-1-61779-346-2_1.pdf?auth66=1385454607_76421ed179b1332c8755d5ca9118b502&ext=.pdf

Tzeng, Y. & Stephens, D.S. (2000). Epidemiology and pathogenesis of Neisseria meningitidis. Microbes and Infection. 2(6): 687-700. Retrieved from: http://www.sciencedirect.com/science/article/pii/S1286457900003567

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