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Published on: November 5, 2019
Neisseria meningitidis infection: who, when and where?
Elena Gianchecchi1, Alessandro Torelli1, Giulia Piccini1
1a 1 VisMederi Srl, via Fiorentina 1, Siena 53100, Italy.
Abstract:
Neisseria meningitidis is a Gram-negative β-proteobacterium responsible for an endemic worldwide infection. The epidemiology and serogroup distribution can change very quickly. The incidence of meningitis infection varies from very rare to more than 1000 cases per 100,000 of the population yearly. The carriage of N. meningitidis, which represents an exclusive human commensal, is asymptomatic, but in rare cases bacteria proliferate in the CNS and rapidly lead to the death of the affected subjects. Host genetic factors, such as single nucleotide polymorphisms, can promote meningococcal disease, being able to influence the individual predisposition to the pathology. Although a reduction in meningococcal disease has been observed in Europe, a continuous surveillance is necessary to control any possible outbreaks of new hypervirulent clones into populations that could modify the epidemiology of meningococcal infections and the clinical spectrum of affected subjects.
Insights
Neisseria meningitidis causes endemic infections globally, with carriage being asymptomatic but potentially leading to fatal meningitis. Continuous surveillance is crucial to monitor evolving epidemiology and hypervirulent clones.
Area of Science:
- Microbiology
- Infectious Diseases
- Genetics
Background:
- Neisseria meningitidis is a Gram-negative bacterium causing endemic worldwide infections.
- Meningococcal disease incidence varies significantly, with asymptomatic carriage potentially leading to severe outcomes like CNS infections and death.
- Host genetic factors, including single nucleotide polymorphisms, influence individual susceptibility to meningococcal disease.
Purpose of the Study:
- To summarize the epidemiology and clinical impact of Neisseria meningitidis infections.
- To highlight the role of host genetics in disease predisposition.
- To emphasize the need for ongoing surveillance of meningococcal epidemiology and emerging clones.
Main Methods:
- Literature review and epidemiological data analysis.
- Examination of host genetic factors influencing disease susceptibility.
- Analysis of Neisseria meningitidis carriage and virulence.
Main Results:
- Neisseria meningitidis epidemiology and serogroup distribution are dynamic.
- Host genetic factors play a role in individual predisposition to meningococcal disease.
- While European incidence has decreased, vigilance is needed against new hypervirulent clones.
Conclusions:
- Neisseria meningitidis remains a significant global health concern requiring continuous monitoring.
- Understanding host-pathogen interactions and genetic predispositions is key to managing meningococcal disease.
- Proactive surveillance is essential to prevent outbreaks and adapt to changing epidemiological patterns.
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