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Pathogenesis, Therapy, and Prevention of Meningococcal Sepsis

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Date 2002 Sep 14
PMID 12228024
Citations 12
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Abstract

Neisseria meningitidis (meningococcus), an exclusive pathogen of humans, is the cause of sepsis (meningococcemia) and meningitis, often in otherwise healthy individuals. Several hundred thousand cases of meningococcal disease occur worldwide each year, a number that is frequently accentuated by epidemic outbreaks. In recent years, significant advances, fueled by new molecular approaches and genome sequencing projects, have improved our understanding of the pathogenesis of meningococcal disease and have led to progress in the development of the next generation of meningococcal vaccines. However, the mortality of meningococcal disease remains 10% to 15% for all cases, and is up to 40% in patients with severe sepsis. This review summarizes current knowledge of the pathogenesis, therapy, and prevention of meningococcal disease with emphasis on meningococcal sepsis.

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References
1.
Twumasi Jr P, Kumah S, Leach A, ODempsey T, Ceesay S, Todd J . A trial of a group A plus group C meningococcal polysaccharide-protein conjugate vaccine in African infants. J Infect Dis. 1995; 171(3):632-8. DOI: 10.1093/infdis/171.3.632. View

2.
Taha M, Achtman M, Alonso J, Greenwood B, Ramsay M, Fox A . Serogroup W135 meningococcal disease in Hajj pilgrims. Lancet. 2001; 356(9248):2159. DOI: 10.1016/S0140-6736(00)03502-9. View

3.
Moore P, Hierholzer J, DeWitt W, Gouan K, Djore D, Lippeveld T . Respiratory viruses and mycoplasma as cofactors for epidemic group A meningococcal meningitis. JAMA. 1990; 264(10):1271-5. View

4.
Stephens D . Uncloaking the meningococcus: dynamics of carriage and disease. Lancet. 1999; 353(9157):941-2. DOI: 10.1016/S0140-6736(98)00279-7. View

5.
Jones D, Borrow R, Fox A, Gray S, Cartwright K, Poolman J . The lipooligosaccharide immunotype as a virulence determinant in Neisseria meningitidis. Microb Pathog. 1992; 13(3):219-24. DOI: 10.1016/0882-4010(92)90022-g. View