Isolation of N. meningitidis from patients in a gonorrhea screen program: a four-year survey in New York City.

Abstract

In the course of the screening program for gonorrhea in New York City, a total of 964 N. meningitidis strains were recovered from the genitourinary tract and/or anal canal over a four-year period (April 1975-April 1979, the rate of such recoveries having tripled during this time.The majority of strains were isolated from anal canal cultures of male patients most of whom were seen in a clinic treating homosexuals. N. meningitidis and N. gonorrhoeae were cultured together from 41 patients: in 24 cases from different sites and in 17 instances from the same specimen. Evidence of clinical-

Conjugal Transfer of Beta‐Lactamase‐Producing Plasmids of Neisseria gonorrhoeae to Neisseria meningitidis

“…Meningococci of clinical importance have been isolated from genitourinary sites (8,11). Furthermore, the occurrence of double infections with N. meningitidis and N. gonorrhoeae (8) increase the possibility that beta-lactamase-producing N. gonorrhoeae isolates may transfer their plasmids to the meningococcus.…”

“…Furthermore, the occurrence of double infections with N. meningitidis and N. gonorrhoeae (8) increase the possibility that beta-lactamase-producing N. gonorrhoeae isolates may transfer their plasmids to the meningococcus. Although N. meningitidis has generally been regarded as susceptible to penicillin, the characterization of plasmids in this species portends serious therapeutic complications.…”

Evaluation of a temporary vaccination recommendation in response to an outbreak of invasive meningococcal serogroup C disease in men who have sex with men in Berlin, 2013–2014

“…Very high Nm carriage rates of over 40% have been reported in men who have sex with men (MSM) [9][10], and one study reported higher carriage rates in MSM (23.8%) than in heterosexual men (11.6%) [11]. Further known risk factors for meningococcal disease, such as exposure to tobacco smoke and crowding [12,13], may also be more prevalent in venues where MSM meet.…”

Background Paper for the update of meningococcal vaccination recommendations in Germany: use of the serogroup B vaccine in persons at increased risk for meningococcal disease

“…In certain groups, e.g. in adolescents, soldiers in barracks, men who have sex with men (MSM), markedly higher carriage rates of 20-40 % were reported [14][15][16][17][18][19][20]. Colonization with meningococci only rarely leads to invasive disease.…”