Volume 23, Number 2—February 2017
Dispatch
Neisseria meningitidis ST11 Complex Isolates Associated with Nongonococcal Urethritis, Indiana, USA, 2015–2016
Figure
![Rooted phylogenetic tree of Neisseria meningitidis sequence type 11 urethral isolates from men in Indianapolis, Indiana, USA, 2015–2016, compared with representative serogroup strains of N. meningitidis. Tree was inferred by using the neighbor-joining method constructed with MEGA7 (13). The percentage of replicate trees in which the associated taxa clustered together in 500 bootstrap tests is indicated next to the branches. The tree is drawn to scale, and branch lengths correspond to evolutionar](/eid/images/16-1434-F1.jpg)
Figure. Rooted phylogenetic tree of Neisseria meningitidis sequence type 11 urethral isolates from men in Indianapolis, Indiana, USA, 2015–2016, compared with representative serogroup strains of N. meningitidis. Tree was inferred by using the neighbor-joining method constructed with MEGA7 (13). The percentage of replicate trees in which the associated taxa clustered together in 500 bootstrap tests is indicated next to the branches. The tree is drawn to scale, and branch lengths correspond to evolutionary distances used to infer the phylogenetic tree. Arrow indicates urethritis strains NM1 and NM2. GC strain FA1090 was used as the outgroup. Scale bar indicates nucleotide substitutions per site.
References
- Feldman HA. Meningococcus and gonococcus: never the Twain—well, hardly ever. N Engl J Med. 1971;285:518–20. DOIPubMedGoogle Scholar
- Carpenter CM, Charles R. Isolation of meningococcus from the genitourinary tract of seven patients. Am J Public Health Nations Health. 1942;32:640–3. DOIPubMedGoogle Scholar
- Murray E. Meningococcus infections of the male urogenital tract and the liability to confusion with gonococcus infection. Urol Cutaneous Rev. 1939;43:739–41.
- Janda WM, Bohnoff M, Morello JA, Lerner SA. Prevalence and site-pathogen studies of Neisseria meningitidis and N gonorrhoeae in homosexual men. JAMA. 1980;244:2060–4. DOIPubMedGoogle Scholar
- Nebreda T, Campos A, Merino FJ. Urethritis caused by Neisseria meningitidis serogroup C. Clin Microbiol Infect. 1999;5:57–60. DOIPubMedGoogle Scholar
- Rodriguez CN, Rodriguez-Morales AJ, Garcia A, Pastran B, Rios A, Calvo A, et al. Quinolone and azithromycin-resistant Neisseria meningitidis serogroup C causing urethritis in a heterosexual man. Int J STD AIDS. 2005;16:649–50. DOIPubMedGoogle Scholar
- Gregory JE, Crook R, Keeler G. Urethritis attributable to Neisseria meningitidis, group X: a case report. J Natl Med Assoc. 1979;71:845–6.PubMedGoogle Scholar
- Hayakawa K, Itoda I, Shimuta K, Takahashi H, Ohnishi M. Urethritis caused by novel Neisseria meningitidis serogroup W in man who has sex with men, Japan. Emerg Infect Dis. 2014;20:1585–7. DOIPubMedGoogle Scholar
- Hagman M, Forslin L, Moi H, Danielsson D. Neisseria meningitidis in specimens from urogenital sites. Is increased awareness necessary? Sex Transm Dis. 1991;18:228–32. DOIPubMedGoogle Scholar
- Shanmugaratnam K, Pattman RS. Acute urethritis due to Neisseria meningitidis. Genitourin Med. 1989;65:401–2.PubMedGoogle Scholar
- Bazan JA, Peterson AS, Kirkcaldy RD, Briere EC, Maierhofer C, Turner AN, et al. Notes from the field: Increase in Neisseria meningitidis–associated urethritis among men at two sentinel clinics—Columbus, Ohio, and Oakland County, Michigan, 2015. MMWR Morb Mortal Wkly Rep. 2016;65:550–2. DOIPubMedGoogle Scholar
- Bratcher HB, Corton C, Jolley KA, Parkhill J, Maiden MC. A gene-by-gene population genomics platform: de novo assembly, annotation and genealogical analysis of 108 representative Neisseria meningitidis genomes. BMC Genomics. 2014;15:1138. DOIPubMedGoogle Scholar
- Kumar S, Stecher G, Tamura K. MEGA7: Molecular Evolutionary Genetics Analysis version 7.0 for bigger datasets. Mol Biol Evol. 2016;33:1870–4. DOIPubMedGoogle Scholar
- Harrison OB, Claus H, Jiang Y, Bennett JS, Bratcher HB, Jolley KA, et al. Description and nomenclature of Neisseria meningitidis capsule locus. Emerg Infect Dis. 2013;19:566–73. DOIPubMedGoogle Scholar
- Corless CE, Guiver M, Borrow R, Edwards-Jones V, Fox AJ, Kaczmarski EB. Simultaneous detection of Neisseria meningitidis, Haemophilus influenzae, and Streptococcus pneumoniae in suspected cases of meningitis and septicemia using real-time PCR. J Clin Microbiol. 2001;39:1553–8. DOIPubMedGoogle Scholar
1These authors contributed equally to this article.