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Table 1 Patient demographic information and phenotypic and genotypic characteristics of four invasive capsule null Neisseria meningitidis isolates identified through national laboratory-based surveillance in South Africa, 2003–2013

From: Molecular characterization of invasive capsule null Neisseria meningitidis in South Africa

Characteristic

Patient

1

2

3 (Episode 1)a

3 (Episode 2)a

 Gender

Male

Male

Male

Male

 Age category (years)

45–64

15–24

5–9

5–9

 HIV status

Negative

Unknown

Negative

Negative

 Antiretroviral use

Not applicable

Unknown

Not applicable

Not applicable

 Underlying disease

Diabetes mellitus, COPD

Unknown

C6 deficiency

C6 deficiency

 Year of disease presentation

2006

2010

2011

2012

 Province

Western Cape

Gauteng

Free State

Free State

 Patient outcome

Recovered

Recovered

Recovered

Recovered

 Specimen type

Pleural aspirate

CSF

CSF

Blood

Isolate

Minimum Inhibitory Concentrations (μg/ml)

 Penicillin G

0.032 (S)

0.064 (S)

0.064 (S)

0.047 (S)

 Ceftriaxone

≤0.002 (S)

≤0.002 (S)

≤0.002 (S)

≤0.002 (S)

 Trimethoprim-sulfamethoxazole

8 (R)

12 (R)

3 (R)

3.8 (R)

 Chloramphenicol

0.75 (S)

1 (S)

1 (S)

0.38 (S)

 Rifampicin

0.008 (S)

0.032 (S)

0.064 (S)

0.032 (S)

 Ciprofloxacin

0.008 (S)

0.008 (S)

0.006 (S)

0.006 (S)

Molecular characterization

  cnl allele (NEIS2743)

12

2

2

2

 Strain designation

NG: P1.7-2,30: F1-2: ST-53 (cc53)

NG: P1.18-11, 42-2: FΔ: ST-192 (cc192)

NG: P1.18-11, 42-2: FΔ: ST-192 (cc192)

NG: P1.18-11, 42-2: FΔ: ST-192 (cc192)

Genome information

 Approx genome size (bp)

2,104,685

2,040,849

1,995,940

2,003,633

 No. contigs

119

111

447

489

  Neisseria PubMLST.org identification number

29312

29306

41961

41860

  1. Abbreviations: COPD chronic obstructive pulmonary disease, C6 sixth complement component, CSF cerebrospinal fluid, S susceptible, R resistant, NG non-groupable, P1 PorA, F FetA, ST sequence type, cc clonal complex, Δ gene deletion
  2. aPatient three presented with two episodes of invasive meningococcal disease in 2011 (episode 1) and 2012 (episode 2, 8 months later), respectively. He was diagnosed with deficiency of the sixth complement component (C6)