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Published on: February 23, 2014
Emerging invasive nonvaccine pneumoccocal serotype 25
Badria Rashid Al Waili1, Suleiman Alola, Esam Albanyan
1Suleiman Al Alola, MD, Department of Pediatrics,, Infectious Disease Division,, King Abdulaziz Medical City,, PO Box 22490, Riyadh, 11426,, Saudi Arabia, alloaS@ngha.med.sa.
Abstract:
Streptococcus pneumoniae (pneumococcus) is a bacterial pathogen that causes invasive infections, including septicemia and meningitis, as well as noninvasive infections such as community-acquired pneumonia, sinusitis and acute otitis media. Vaccination with pneumococcal conjugate vaccine (PCV7) has significantly reduced the burden of pneumococcal disease; however it targets only seven of the more than 92 pneumococcal serotypes. Concerns have been raised that nonvaccine serotypes could increase in prevalence and reduce the benefits of vaccination. We report one case with invasive nonvaccine serotype 25 that presented with meningitis.
Insights
Pneumococcal conjugate vaccine (PCV7) reduced disease, but nonvaccine serotypes like type 25 may emerge. This case highlights invasive nonvaccine serotype 25 meningitis, underscoring evolving pneumococcal disease threats.
Area of Science:
- Microbiology
- Infectious Diseases
- Vaccinology
Background:
- Streptococcus pneumoniae causes severe infections like meningitis and pneumonia.
- Pneumococcal conjugate vaccine (PCV7) reduced disease burden but covers only 7 of 92+ serotypes.
- Concerns exist regarding the rise of nonvaccine serotypes post-vaccination.
Observation:
- A case of invasive meningitis caused by a nonvaccine serotype of Streptococcus pneumoniae was identified.
- The specific serotype involved was identified as nonvaccine serotype 25.
Findings:
- The study reports a case of invasive meningitis attributed to Streptococcus pneumoniae serotype 25.
- This highlights the potential for nonvaccine serotypes to cause severe invasive disease.
Implications:
- Findings suggest that nonvaccine serotypes may pose a continued or emerging threat despite widespread PCV7 vaccination.
- This underscores the need for ongoing surveillance of pneumococcal serotype prevalence and the development of broader-spectrum vaccines.
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