Methods in Molecular Biology Introductory Overview
Overview of Neisseria meningitidisNeisseria meningitidis, or the meningococcus, is a Gram negative, non-motile diplococcus that can cause septicaemia and meningitis in susceptible individuals. It is closely related to N. gonorrhoeae, or the gonococcus, which is the causative agent of the sexually transmitted infection gonorrhoea. N. meningitidis and N. gonorrhoeae are the only pathogenic members of the genus Neisseria, which includes several commensal species 1 . Both N. meningitdis and N. gonorrhoeae are obligate human pathogens. N. meningitidis is acquired through person-to-person contact via aerosols and oral or nasal secretions and is a member of the normal nasopharyngeal microbiome in healthy individuals. Once acquired, the meningococcus may be carried transiently or for a period of several months before carriage is lost. Carriage studies have shown N. meningitidis resides in 3-35% of the population depending on geographic location, climate and local disease status 2 . N. meningitidis is considered an accidental pathogen, as the bacterium only rarely crosses into the bloodstream causing life-threatening diseases such as septicaemia and meningitis. Meningococcal disease occurs endemically as sporadic cases in a community, or in epidemics, such as those observed in the African meningitis belt. The most susceptible individuals are infants under 1 year of age, teenagers and young adults 3,4 . Others at risk from meningoccal disease are those with deficiencies in their complement system and asplenia 4 . The onset of disease is rapid and case fatality rates range between 10-20%, despite the availability of antibiotic treatment. Of the survivors, 10-20% develop long-term sequelae, including hearing loss, loss of limbs, skin scarring and neurodevelopmental deficits, and up to 36% develop deficits in physical, cognitive or psychological functioning 5, 6 .