TABLE 1.
Patient, healthy contact, or unrelated patient | Age (yr) | Gendera | Date of presentation (day/mo/yr) | Time (days) between discotheque visit and disease | Relationship to patient(s) | Clinical presentation | Site(s) yielding positive culture(s) | Serogroup | Serotype:serosubtype | PFGE pattern |
porA gene subtypeb
|
||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
VR1 | VR2 | VR3 | |||||||||||
Patients | |||||||||||||
A | 9 | M | 30/04/1992 | Sore throat, septis | Blood | C | 2a:nst | I | 5a | 10d | 36b | ||
B | 2 | F | 11/05/1992 | Septis | Blood | C | 2a:nst | I | 5a | 10d | 36b | ||
C | 24 | M | 28/06/1992 | ≈5 | Septis, meningitis | Blood | C | 2a:nst | I | 5a | 10d | 36b | |
D | 25 | M | 23/07/1992 | 5 | Septisc | Blood, CSF | C | 2a:nst | I | 5a | 10d | 36b | |
E | 21 | F | 24/07/1992 | 6 | Arthritis | Knee joint | C | 2a:nst | I | 5a | 10d | 36b | |
F | 21 | M | 25/07/1992 | 7 | Conjunctivitis, meningitis | Blood, CSF, pharynx, socket | C | 2a:nst | I | 5a | 10d | 36b | |
G | 21 | M | 09/09/1992 | ≈65 | Arthritis, fever | Knee joint, pharynx | C | 2a:nst | I | 5a | 10d | 36b | |
Healthy contacts | |||||||||||||
1 | 25 | M | 26/07/1992 | Boyfriend of patient E | Pharynx | C | 2a:nst | I | 5a | 10d | 36b | ||
2 | 16 | M | 26/07/1992 | Brother of patient D | Pharynx | C | 15:P1.6 | II | 18 | 25b | 38a | ||
3 | 24 | M | 26/07/1992 | Friend of patient D | Pharynx | C | 4:nst | III | 5a | 10a | 36b | ||
4–10 | 1–52 | 26–28/07/1992 | Contact with patients D, E, and F | —d | |||||||||
Unrelated patients | |||||||||||||
1 | 1 | F | 30/07/1992 | CSF | C | 2b:nst | IV | 5 | 2b | 36b | |||
2 | 17 | F | 18/12/1992 | CSF | C | 15:P1.15 | V | 19 | 15a | 36 | |||
3 | 24 | M | 30/12/1992 | Blood | C | nt:P1.7,9 | VI | 7 | 9 | 35a | |||
4 | 37 | F | 30/12/1992 | CSF | C | 2a:nst | VII | 5 | 2 | 36b |
Abbreviations: F, female; M, male.
The amino acid sequences of VR1 to VR3 (with subtypes in parentheses) were as follows: VR1, PLQNIQPQVTKR (5), PLQNIQQPQVTKR (5a), AQAANGGASGQVKVTKVTKA (7), PPSKGQTGNKVTKG (18), and PPSKSQPQVKVTKA (19); VR2, HFVQQTPKSQPTLVP (2), HFVQQPPKSQPTLVP (2b), YVDEQSKYHA (9), HFVQNKQNQPPTLVP (10a), HFVQNKQNKQNQPPTLVP (10d), HYTRQNNTDVFVP (15a), and TYTEGSSGVFTPVP (25b); and VR3, LLGSGSDQ (35a), LLGSTSDE (36), LLGSGSDE (36b), and LLGRIGEDDE (38a).
Fatal case.
No positive pharyngeal specimens.