Recent increase in meningitis Caused by Neisseria meningitidis serogroups A and W135, Yaoundé, Cameroon

Marie-Christine Fonkoua1, Muhamed-Kheir Taha, Pierre Nicolas

  • 1Centrte Pasteur du Cameroun, Yaoundé, Cameroon.

Insights

Bacterial meningitis cases in Yaoundé saw a significant rise in Neisseria meningitidis strains between 1999-2000. Increased surveillance is crucial due to the rise of serogroup A and emergence of W135 strains.

Area of Science:

  • Epidemiology
  • Microbiology
  • Public Health

Background:

  • Neisseria meningitidis serogroups A, B, and C were previously identified as minor contributors to bacterial meningitis in Yaoundé between 1991-1998.
  • These serogroups accounted for only 2%-10% of isolated strains during this period.

Purpose of the Study:

  • To analyze the changing trends of Neisseria meningitidis serogroups causing bacterial meningitis in Yaoundé.
  • To assess the implications of observed shifts for public health surveillance and prevention strategies.

Main Methods:

  • Retrospective analysis of Neisseria meningitidis isolates from bacterial meningitis cases in Yaoundé.
  • Comparison of strain percentages from 1991-1998 with data from 1999-2000.

Main Results:

  • A notable increase in Neisseria meningitidis was observed, reaching 17% of isolates in 1999-2000.
  • This represents a significant rise compared to the 2%-10% reported between 1991-1998.
  • Serogroup A strains increased, and serogroup W135 strains emerged during the later period.

Conclusions:

  • The rising prevalence of Neisseria meningitidis, particularly serogroup A and the emergence of W135, necessitates enhanced meningitis surveillance in Yaoundé.
  • Improved diagnostic and preventive measures are essential to manage the evolving epidemiology of meningococcal disease.

Related Concept Videos

Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
Bacterial Meningitis01:24

Bacterial Meningitis

Bacterial meningitis is a severe infectious disease involving inflammation of the meninges, the protective membranes surrounding the brain and spinal cord. It occurs when pathogenic bacteria cross the blood–brain barrier and enter the cerebrospinal fluid. Common causative organisms include Neisseria meningitidis, Streptococcus pneumoniae, Haemophilus influenzae type b, Listeria monocytogenes, and Escherichia coli K1. The exact route of entry varies by pathogen and host condition.Routes of Entry...
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Arboviral Encephalitis01:25

Arboviral Encephalitis

Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...