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##### Cited by 4 publications
(64 citation statements)
##### References 40 publications
(64 reference statements)
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“…During 1993–1994, a total of 4 C:4 N. meningitidis isolates were identified in samples from patients in Rio de Janeiro State (RJ). The presence of class3-PorB in these strains suggested the possibility of B→C capsular switching ( 7 ). Since 2000, the number of cases of serogroup C disease has steadily increased in RJ ( 8 ), reaching 90% of laboratory-confirmed cases in 2009.…”
mentioning
confidence: 99%
“…During 1993–1994, a total of 4 C:4 N. meningitidis isolates were identified in samples from patients in Rio de Janeiro State (RJ). The presence of class3-PorB in these strains suggested the possibility of B→C capsular switching ( 7 ). Since 2000, the number of cases of serogroup C disease has steadily increased in RJ ( 8 ), reaching 90% of laboratory-confirmed cases in 2009.…”
mentioning
confidence: 99%
“…Previous regional reports have described a predominant Brazilian cc32 strain with phenotype, B: 4,7; P1.19,15 [1,2,[7][8][9]28]. A large proportion of isolates in our study had corresponding OMP sequence types: PorB loop I-4 (serotype 4) and loop VI-9 or VI-24 (serotype 7) [29], PorA VR 1-19 and VR 2-15 (serosubtype PI.…”
Section: Discussionmentioning
confidence: 46%
“…Epidemiological studies investigating carriage of N. meningitidis approximately 10 cases per 100 000 population in some parts of the country (particularly in Rio de Janeiro). However, there was another shift back to serogroup B towards the end of the decade which caused approximately 80% of cases 14,19,[48][49][50][51]. Serogroup C was dominant in Argentina from 1995 until the end of the decade 7,14,15,45.…”
mentioning
confidence: 99%