Genetic relatedness among nontypeable pneumococci implicated in sporadic cases of conjunctivitis

J H Barker1, D M Musher, R Silberman

  • 1Department of Medicine, Baylor College of Medicine, Houston, Texas.

Insights

Nontypeable Streptococcus pneumoniae causes epidemic conjunctivitis. Some sporadic cases are linked to epidemic strains, while others show genetic diversity, indicating varied origins of bacterial conjunctivitis.

Area of Science:

  • Microbiology
  • Ophthalmology
  • Epidemiology

Background:

  • Nontypeable Streptococcus pneumoniae is a frequent cause of epidemic conjunctivitis.
  • A specific clone of this bacterium was previously identified as responsible for a recent conjunctivitis outbreak.

Purpose of the Study:

  • To investigate the genetic relationship between pneumococci causing sporadic conjunctivitis and the previously identified epidemic strain.
  • To determine the clonal relatedness of nontypeable pneumococcus isolates from sporadic conjunctivitis cases.

Main Methods:

  • Molecular fingerprinting using arbitrarily primed BOX-PCR was employed.
  • Ten isolates of nontypeable Streptococcus pneumoniae from sporadic conjunctivitis cases were analyzed.

Main Results:

  • Five of the ten sporadic isolates were found to be clonal and closely related to the epidemic strain.
  • The remaining five sporadic isolates exhibited significant genetic diversity, suggesting different origins.

Conclusions:

  • Sporadic cases of conjunctivitis caused by nontypeable Streptococcus pneumoniae can originate from the same clonal strains responsible for outbreaks.
  • However, other genetically diverse strains also contribute to sporadic bacterial conjunctivitis, highlighting the complex epidemiology of this infection.

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