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Capsular Serotyping of Streptococcus pneumoniae Using the Quellung Reaction
Published on: February 24, 2014
Genetic characterization of a Neisseria meningitidis cluster in Queensland, Australia
N R Abady1, C J D Guglielmino2, R M Graham2
1a Microbial Gene Research and Resources Facility, School of Natural Sciences, Griffith University, Queensland, Australia.
Abstract:
Neisseria meningitidis serogroups B and C have been responsible for the majority of invasive meningococcal disease in Australia, with serogroup B strains causing an increasing proportion of cases in recent years. Serogroup Y has typically caused sporadic disease in Australia. In 2002, a cluster of 4 cases was reported from a rural region in Queensland. Three of these cases were serogroup C, with 1 case diagnosed by molecular detection only, and the fourth case was identified as a serogroup Y infection. Genomic analysis, including antigen finetyping, multilocus sequence typing (MLST), and core genome MLST, demonstrated that the serogroup Y case, though spatially and temporally linked to a serogroup C disease cluster, was not the product of a capsule switch and that one of the serogroup C isolates had a deletion of the entire porA sequence.
Insights
Invasive meningococcal disease (IMD) in Australia is primarily caused by Neisseria meningitidis serogroups B and C. Genomic analysis of a 2002 cluster revealed a serogroup Y case was unrelated to the serogroup C cases.
Area of Science:
- Microbiology
- Epidemiology
- Genomics
Background:
- Neisseria meningitidis serogroups B and C are the leading causes of invasive meningococcal disease (IMD) in Australia.
- Serogroup B strains show an increasing prevalence in recent years.
- Serogroup Y typically causes sporadic IMD cases in Australia.
Purpose of the Study:
- To investigate a cluster of invasive meningococcal disease cases in Queensland in 2002.
- To determine the genomic relationship between serogroup C and serogroup Y isolates within the cluster.
Main Methods:
- Genomic analysis including antigen finetyping, multilocus sequence typing (MLST), and core genome MLST.
- Molecular detection for diagnosis.
Main Results:
- A cluster of 4 IMD cases included 3 serogroup C and 1 serogroup Y infection.
- Genomic analysis confirmed the serogroup Y case was not a result of a capsule switch from the serogroup C cases.
- One serogroup C isolate exhibited a complete deletion of the porA gene sequence.
Conclusions:
- The serogroup Y case in the Queensland cluster was epidemiologically linked but genomically distinct from the serogroup C cases.
- The findings highlight the genetic diversity within Neisseria meningitidis outbreaks.
- PorA gene deletions can occur in circulating serogroup C strains.
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