<< Chapter < Page Chapter >> Page >

Pneumococcal meningitis

Pneumococcal meningitis is caused by the encapsulated gram-positive bacterium S. pneumoniae (pneumococcus, also called strep pneumo). This organism is commonly found in the microbiota of the pharynx of 30–70% of young children, depending on the sampling method, while S. pneumoniae can be found in fewer than 5% of healthy adults. Although it is often present without disease symptoms, this microbe can cross the blood-brain barrier in susceptible individuals. In some cases, it may also result in septicemia. Since the introduction of the Hib vaccine , S. pneumoniae has become the leading cause of meningitis in humans aged 2 months through adulthood.

S. pneumoniae can be identified in CSF samples using gram-stained specimens, latex agglutination, and immunochromatographic RDT specific for S. pneumoniae . In gram-stained samples, S. pneumoniae appears as gram-positive, lancet-shaped diplococci ( [link] ). Identification of S. pneumoniae can also be achieved using cultures of CSF and blood, and at least 93 distinct serotypes can be identified based on the quellung reaction to unique capsular polysaccharides. PCR and RT-PCR assays are also available to confirm identification.

Major virulence factors produced by S. pneumoniae include PI-1 pilin for adherence to host cells (pneumococcal adherence) and virulence factor B (PavB) for attachment to cells of the respiratory tract; choline-binding proteins (cbpA) that bind to epithelial cells and interfere with immune factors IgA and C3; and the cytoplasmic bacterial toxin pneumolysin that triggers an inflammatory response.

With the emergence of drug-resistant strains of S. pneumoniae , pneumococcal meningitis is typically treated with broad-spectrum antibiotics, such as levofloxacin , cefotaxime , penicillin , or other β-lactam antibiotics. The two available pneumococcal vaccines are described in Bacterial Infections of the Respiratory Tract .

a)Micrograph of green closing circles in pairs on a dark background. Photograph of a red plate with  brown colonies. Clearing is seen around the colonies.
(a) Digitally colorized fluorescent antibody stained micrograph of Streptococcus pneumoniae in CSF. (b) S. pneumoniae growing on blood agar. (credit a: modification of work by the Centers for Disease Control and Prevention; credit b: modification of work by Nathan Reading)

Haemophilus influenzae Type b

Meningitis due to H. influenzae serotype b (Hib), an encapsulated pleomorphic gram-negative coccobacilli, is now uncommon in most countries, because of the use of the effective Hib vaccine . Without the use of the Hib vaccine, H. influenzae can be the primary cause of meningitis in children 2 months thru 5 years of age. H. influenzae can be found in the throats of healthy individuals, including infants and young children. By five years of age, most children have developed immunity to this microbe. Infants older than 2 months of age, however, do not produce a sufficient protective antibody response and are susceptible to serious disease. The intracranial pressure caused by this infection leads to a 5% mortality rate and 20% incidence of deafness or brain damage in survivors. United States Department of Health and Human Services, “Hib (Haemophilus Influenzae Type B),” Accessed June 28, 2016. http://www.vaccines.gov/diseases/hib/#.

Questions & Answers

summarize halerambos & holbon
David Reply
the Three stages of Auguste Comte
Clementina Reply
what are agents of socialization
Antonio Reply
sociology of education
Nuhu Reply
definition of sociology of education
Nuhu
what is culture
Abdulrahim Reply
shared beliefs, values, and practices
AI-Robot
What are the two type of scientific method
ogunniran Reply
I'm willing to join you
Aceng Reply
what are the scientific method of sociology
Man
what is socialization
ogunniran Reply
the process wherein people come to understand societal norms and expectations, to accept society's beliefs, and to be aware of societal values
AI-Robot
scientific method in doing research
ogunniran
defimition of sickness in afica
Anita
Cosmology
ogunniran
Hmmm
ogunniran
list and explain the terms that found in society
REMMY Reply
list and explain the terms that found in society
Mukhtar
what are the agents of socialization
Antonio
Family Peer group Institution
Abdulwajud
I mean the definition
Antonio
ways of perceived deviance indifferent society
Naomi Reply
reasons of joining groups
SAM
to bring development to the nation at large
Hyellafiya
entails of consultative and consensus building from others
Gadama
World first Sociologist?
Abu
What is evolutionary model
Muhammad Reply
Evolution models refer to mathematical and computational representations of the processes involved in biological evolution. These models aim to simulate and understand how species change over time through mechanisms such as natural selection, genetic drift, and mutation. Evolutionary models can be u
faruk
what are the modern trends in religious behaviours
Selekeye Reply
what are social norms
Daniel Reply
shared standards of acceptable behavior by the group or appropriate behavior in a particular institution or those behaviors that are acceptable in a society
Lucius
that is how i understood it
Lucius
examples of societal norms
Diamond
Discuss the characteristics of the research located within positivist and the interpretivist paradigm
Tariro Reply
what is Industrialisation
Selekeye Reply
industrialization
Angelo
Got questions? Join the online conversation and get instant answers!
Jobilize.com Reply

Get Jobilize Job Search Mobile App in your pocket Now!

Get it on Google Play Download on the App Store Now




Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
Google Play and the Google Play logo are trademarks of Google Inc.

Notification Switch

Would you like to follow the 'Microbiology' conversation and receive update notifications?

Ask