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Neisseria meningitidis ST11 Complex Isolates Associated with Nongonococcal Urethritis, Indiana, USA, 2015-2016
Abstract:
At a clinic in Indianapolis, Indiana, USA, we observed an increase in Neisseria gonorrhoeae-negative men with suspected gonococcal urethritis who had urethral cultures positive for N. meningitidis. We describe genomes of 2 of these N. meningitidis sequence type 11 complex urethritis isolates. Clinical evidence suggests these isolates may represent an emerging urethrotropic clade.
Insights
Neisseria meningitidis caused urethritis in men previously suspected of gonorrhea. Genomic analysis suggests a new urethrotropic bacterial strain may be emerging.
Area of Science:
- Microbiology
- Genomics
- Infectious Diseases
Background:
- Neisseria gonorrhoeae is a primary cause of urethritis.
- Accurate diagnosis of urethritis is crucial for effective treatment.
Observation:
- An increase in Neisseria meningitidis-positive urethral cultures was noted in men with suspected gonococcal urethritis.
- These cases were negative for Neisseria gonorrhoeae.
Findings:
- Genomic sequencing was performed on two Neisseria meningitidis isolates from urethritis cases.
- The isolates belonged to the sequence type 11 complex.
Implications:
- These findings suggest a potential emergence of urethrotropic Neisseria meningitidis strains.
- Further research is needed to understand the clinical significance and transmission of these isolates.
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