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Neisseria meningitidis ( meningococcus) Dr Kamran Afzal
Neisseria meningitidis ,[object Object],[object Object]
Morphology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Virulence factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diseases -  N. meningitidis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Meningitis
Definition ,[object Object]
Etiology   Infectious
Non-infectious
Etiology according to Patient Age   Age   Common bacteria Birth - 1 month S. agalactiae, E. coli,  K. pneumoniae, L. monocytogenes, enterococcus  species 1 - 3 months S. agalactiae, E. coli,  L. monocytogenes,   H. influenzae, S. pneumoniae,  N. meningitidis   3 months to over 15 years   S. pneumoniae, N. meningitidis, H. influenzae
Pathogenesis
Bacterial evasion mechanisms Pathogenic Event Host Defense   Bacterial Evasion Mechanism Colonization and mucosal invasion   1. Secretory IgA   2. Cellular cilia activity  3. Mucosal epithelium IgA protease secretion  Ciliostasis  Adhesive pili Survival in the blood stream Activation of Complement Pathways Blockage of Alternative  Complement Pathway Crossing the blood-brain barrier Cerebral endothelium Passage through tight junctions between cells Survival within the CSF Poor opsonic activity Rapid bacterial replication
Clinical features     Symptoms ,[object Object]
[object Object]
[object Object],[object Object],[object Object],Signs
CSF –  Acute Bacterial Meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CSF evaluation Positive (MTB) Negative Positive Negative Culture Increased +/- Increased Increased 5-40 Protein < 30% Normal <40% 66% CSF : plasma Glucose ratio Decreased Normal Decreased 60-80 Glucose Increased Predominate Late 5 Lymphocytes +/- increased Early Predominate 0 Polymorphs <500 <1000 >1000 0-5 Cells TB Viral  Bacterial Normal
Laboratory diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Growth characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Biochemical reactions ,[object Object],[object Object]
Serology ,[object Object],[object Object],[object Object]
Antibiotic sensitivity testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Immunity and Prevention ,[object Object],[object Object],[object Object],[object Object]
Chemoprophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications
Meningococcemia Septicemia and fulminant meningococcemia
Clinical features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Skin Lesions of Meningococcemia NOTE :   Petechiae have coalesced into hemorrhagic bullae
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Fulminant meningococcemia
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Neisseria Meningitidis

  • 1. Neisseria meningitidis ( meningococcus) Dr Kamran Afzal
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 10.
  • 11. Etiology Infectious
  • 13. Etiology according to Patient Age Age   Common bacteria Birth - 1 month S. agalactiae, E. coli, K. pneumoniae, L. monocytogenes, enterococcus species 1 - 3 months S. agalactiae, E. coli, L. monocytogenes, H. influenzae, S. pneumoniae, N. meningitidis   3 months to over 15 years   S. pneumoniae, N. meningitidis, H. influenzae
  • 15. Bacterial evasion mechanisms Pathogenic Event Host Defense Bacterial Evasion Mechanism Colonization and mucosal invasion   1. Secretory IgA   2. Cellular cilia activity  3. Mucosal epithelium IgA protease secretion  Ciliostasis  Adhesive pili Survival in the blood stream Activation of Complement Pathways Blockage of Alternative Complement Pathway Crossing the blood-brain barrier Cerebral endothelium Passage through tight junctions between cells Survival within the CSF Poor opsonic activity Rapid bacterial replication
  • 16.
  • 17.
  • 18.
  • 19.
  • 20. CSF evaluation Positive (MTB) Negative Positive Negative Culture Increased +/- Increased Increased 5-40 Protein < 30% Normal <40% 66% CSF : plasma Glucose ratio Decreased Normal Decreased 60-80 Glucose Increased Predominate Late 5 Lymphocytes +/- increased Early Predominate 0 Polymorphs <500 <1000 >1000 0-5 Cells TB Viral Bacterial Normal
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 30. Meningococcemia Septicemia and fulminant meningococcemia
  • 31.
  • 32. Skin Lesions of Meningococcemia NOTE : Petechiae have coalesced into hemorrhagic bullae
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.

Editor's Notes

  1. RBC – traumatic vs CNS bleeding. After a few hours, CSF will be xanthrochromic; if traumatic it will be clear with centrifugation. Latex agglutination has high false negative rate.