TABLE 1.
Clinical characteristics of patients with meningococcal disease (n = 40) and characterization of associated strains
Patient group and no.a | Meningococcal strain | Approx MW
(103)b
|
Disease categoryc | Preadmission symptoms (h) | Intermediate sampling day | |
---|---|---|---|---|---|---|
TbpA | TbpB | |||||
I (n = 8) | ||||||
1 | B:15P1.7,16 | NT | NT | 2 | 12 | 15 |
2 | B:15P1.7,16 | 98 | 83 | 1 | 12 | 17 |
3 | B:15P1.7,16 | NT | NT | 1 | 18 | 16 |
4 (V−A+C[1]) | B:15P1.7,16 | NT | NT | 3 | 20 | 12 |
5 | B:15P1.7,16 | 95 | ND | 4 | 11 | 16 |
6 | B:15P1.7,16 | 98 | 81 | 1 | 25 | 10 |
7 | B:15P1.7,16 | NT | NT | 4 | 24 | 16 |
8 | B:15P1.7,16 | 98 | 83 | 2 | 10 | 17 |
II (n = 7) | ||||||
9 | C:15P1.7,16 | 98 | 83 | 4 | 20 | |
10 | C:15P1.7,16 | 98 | 83 | 3 | 20 | 24 |
11 | C:15P1.7,16 | 95 | ND | 4 | 48 | 17 |
12 | C:15P1.7,16 | 98 | 83 | 1 | 16 | 8 |
13 | C:15P1.7,16 | 98 | 83 | 1 | 24 | 5 |
14 | C:15P1.7,16 | 98 | 81 | 2 | 16 | 7 |
15 | C:15P1.7,16 | NT | NT | 3 | 30 | 4 |
III (n = 10) | ||||||
16 | B:15:P1.2 | 98 | 85 | 3 | 23 | 9 |
17 | B:15:P1.2,5 | 98 | 85 | 4 | 36 | 5 |
18 | B:15:P1.12,13 | NT | NT | 2 | 12 | 24 |
19 | B:15:P1.12,13 | NT | NT | 2 | 11 | 15 |
20 | B:15:P1.12 | 98 | 85 | 4 | 24 | 18 |
21 | B:15:P1.12 | NT | NT | 4 | 18 | 5 |
22 (V−B [3]) | B:15:P1.12 | 98 | 83 | 1 | 14 | 13 |
23 (V−B [3]) | B:15:P1.12 | 98 | 83 | 3 | 18 | 15 |
24 (V−B [3]) | B:15:P1.12 | NT | NT | 1 | 14 | 10 |
25 (V−B [1]) | B:15:P1.12 | NT | NT | 1 | 26 | 3 |
IV (n = 6) | ||||||
26 | C:2a:P1.2 | 95 | 64 | 4 | 20 | 6 |
27 | C:2a:P1.2 | 98 | 68 | 2 | 11 | 13 |
28 | C:2a:P1.2 | 98 | 68 | 4 | 11 | 14 |
29 | C:2a:P1.2 | 98 | 85 | 2 | 28 | 4 |
30 (V−B [4] | C:2a:P1.2 | NT | NT | 2 | 20 | 15 |
31 (V−B [4] | C:2a:P1.2 | 98 | 68 | 2 | 10 | 17 |
V (n = 9) | ||||||
32 | B:NT:P1.12 | 95 | 85 | 4 | 18 | 13 |
33 | B:NT:P1.16 | 98 | 85 | 1 | 24 | 18 |
34 | B:NT:P1.3 | NT | NT | 4 | 20 | 8 |
35 | B:NT:NT | 98 | 83 | 3 | 30 | 14 |
36 | B:4:NT | 98 | ND | 4 | 10 | 16 |
37 | B:4:P1.12 | 98 | 85 | 2 | 25 | 16 |
38 | B:8:P1.15 | 98 | 83 | 1 | 18 | 16 |
39 | B:19:P1.15 | 98 | 85 | 4 | 16 | 8 |
40 | Microscopyd | NT | NT | 3 | 11 | 14 |
V−A+C, immunized with meningococcal polysaccharide A+C vaccine; V−B, immunized with meningococcal serogroup B OMV vaccine. Numbers in brackets indicate years since vaccination.
ND, not determined, band not detected; NT, not tested.
1, meningitis; 2, septicemia with shock; 3, meningitis and septicemia with shock; 4, septicemia without septic shock and with or without meningitis.
Gram-negative diplococci in cerebrospinal fluid.