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

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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