Volume 19, Number 9—September 2013
Spread of Neisseria meningitidis Serogroup W Clone, China
|Patient ID||Age, y/sex||Date of symptom onset||Province of onset||Patient occupation||Outcome||Method of diagnosis||ST11 W strains from close contacts (no.)|
|1†||16/M||2011 Feb 12||Guangxi||Student||Survived||Strain isolation/ PCR||No|
|2||19/M||2011 Apr 1||Jiangsu||Factory worker||Died||Strain isolation||No|
|3||19/F||2011 Apr 20||Zhejiang||Factory worker||Died||Strain isolation||No|
|4†||18/M||2011 Apr 27||Guangxi||Student||Survived||Strain isolation/ PCR||Yes (8)|
|5†||46/M||2011 May 4||Guangxi||Farmer||Survived||Strain isolation/ PCR||No|
|6†||22/F||2011 Oct 13||Guangdong||Factory worker||Survived||PCR||Yes (1)|
|7||35/M||2012 Feb 1||Guangdong||Factory worker||Survived||Strain isolation||No|
|8†||23/M||2012 Feb 2||Guangxi||Factory worker||Survived||PCR||Yes (1)|
|9||14/M||2012 Feb 14||Anhui||Student||Died||Strain isolation||Yes (4)|
|10||3/M||2012 Mar 27||Henan||Student||Survived||Strain isolation||Yes (2)|
|11||9/M||2012 Jun 18||Hunan||Student||Survived||Strain isolation||No|
*ID, identification; ST, sequence type.
†Multilocus sequence typing results were obtained from cerebrospinal fluid but not from strains.
- Zhou H, Gao Y, Xu L, Li M, Li Q, Li Y, Distribution of serogroups and sequence types in disease-associated and carrier strains of Neisseria meningitidis isolated in China between 2003 and 2008. Epidemiol Infect. 2012;140:1296–303 .
- Shao Z, Zhou H, Gao Y, Ren H, Xu L, Kan B, Neisseria meningitidis serogroup W135, China. Emerg Infect Dis. 2010;16:348–9 .
- Shao Z, Li W, Ren J, Liang XF, Xu L, Diao BW, Identification of a new Neisseria meningitidis serogroup C clone from Anhui Province, China. Lancet. 2006;367:419–23.
- Lingappa JR, Al-Rabeah AM, Hajjeh R, Mustafa T, Fatani A, Al-Bassam T, Serogroup W-135 meningococcal disease during the Hajj, 2000. Emerg Infect Dis. 2003;9:665–71.
- Mayer LW, Reeves MW, Al-Hamdan N, Sacchi CT, Taha MK, Ajello GW, Outbreak of W135 meningococcal disease in 2000: not emergence of a new W135 strain but clonal expansion within the electrophoretic type-37 complex. J Infect Dis. 2002;185:1596–605.
- Nathan N, Rose AM, Legros D, Tiendrebeogo SR, Bachy C, Bjørløw E, Meningitis serogroup W135 outbreak, Burkina Faso, 2002. Emerg Infect Dis. 2007;13:920–3.
- Lemos AP, Harrison LH, Lenser M, Sacchi CT. Phenotypic and molecular characterization of invasive serogroup W135 Neisseria meningitidis strains from 1990 to 2005 in Brazil. J Infect. 2010;60:209–17.
- Doyle TJ, Mejia-Echeverry A, Fiorella P, Leguen F, Livengood J, Kay R, Cluster of serogroup W135 meningococci, southeastern Florida, 2008–2009. Emerg Infect Dis. 2010;16:113–5.
- Kilic A, Urwin R, Li H, Saracli MA, Stratton CW, Tang YW. Clonal spread of serogroup W135 meningococcal disease in Turkey. J Clin Microbiol. 2006;44:222–4.
- Fonkoua MC, Taha MK, Nicolas P, Cunin P, Alonso JM, Bercion R, Recent increase in meningitis caused by Neisseria meningitidis serogroups A and W135, Yaoundé, Cameroon. Emerg Infect Dis. 2002;8:327–9.
- Gagneux SP, Hodgson A, Smith TA, Wirth T, Ehrhard I, Morelli G, Prospective study of serogroup X Neisseria meningitidis outbreak in northern Ghana. J Infect Dis. 2002;185:618–26 .
- Massenet D, Inrombe J, Mevoula DE, Nicolas P. Serogroup W135 meningococcal meningitis, northern Cameroon, 2007–2008. Emerg Infect Dis. 2009;15:340–2.
1These authors contributed equally to this article.
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