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Disco fever: epidemic meningococcal disease in northeastern Argentina associated with disco patronage
S T Cookson1, J L Corrales, J O Lotero
1Hospital Infections Program, Meningitis and Special Pathogens Branch, Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. sgc0@cdc.gov
Abstract:
Neisseria meningitidis is a leading cause of adult meningitis worldwide. From 5 to 14 August 1996, 8 cases of meningococcal disease occurred in Corrientes city (population 306,000) in northeastern Argentina. Those infected ranged in age from 15 to 45 years (median, 18.5). To determine risk factors for infection, a case-control study was done. Infecting isolates were serogrouped and underwent phenotyping by multilocus enzyme electrophoresis (MLEE) and pulsed-field gel electrophoresis (PFGE). Those infected were significantly more likely than those not infected to have had exposure to passive or active cigarette smoke or to have attended a particular disco. Isolates available from 6 case-patients were all serogroup C; all had identical MLEE and PFGE patterns. These data suggest that dance clubs or discos may be a focus of transmission of N. meningitidis among young people.
Insights
Young adults attending discos and exposed to cigarette smoke faced higher risks of meningococcal disease. This outbreak highlights discos as potential Neisseria meningitidis transmission hubs.
Area of Science:
- Epidemiology
- Infectious Diseases
- Microbiology
Background:
- Neisseria meningitidis is a significant global cause of adult meningitis.
- An outbreak of meningococcal disease occurred in Corrientes, Argentina, in August 1996.
Purpose of the Study:
- To identify risk factors associated with meningococcal disease infection.
- To characterize the Neisseria meningitidis isolates involved in the outbreak.
Main Methods:
- A case-control study was conducted to assess risk factors.
- Isolates were serogrouped and analyzed using multilocus enzyme electrophoresis (MLEE) and pulsed-field gel electrophoresis (PFGE).
Main Results:
- Exposure to passive or active cigarette smoke and attending a specific disco were significant risk factors.
- All six available isolates were serogroup C and exhibited identical MLEE and PFGE patterns.
Conclusions:
- Discos may serve as focal points for Neisseria meningitidis transmission among young adults.
- Environmental factors like cigarette smoke exposure may increase susceptibility or facilitate transmission.
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