Molecular detection and characterization of bacteria from CSF samples of patients with suspected cerebrospinal meningitis in parts of northern Nigeria using metagenomic DNA extracts

*1,2Peletiri, I. C., 1Ikeh, E. I., 1Ayanbimpe, G. M., and 3Nna, E.

1Department of Medical Microbiology, Faculty of Clinical Sciences, College of Health Sciences, University of Jos, Nigeria

2Medical Microbiology & Parasitology Laboratories, National Hospital, Abuja, FCT, Nigeria

3Safety Molecular Pathology Laboratory, The Molecular Pathology Institute, Enugu, Enugu State, Nigeria

*Correspondence to: kumochris@hotmail.com

Abstract:

Background: The most commonly used approaches for detection and characterization of bacterial pathogens of meningitis in developing countries include culture, Gram stain, and latex agglutination. The positivity rate of culture is relatively low due to suboptimal storage and transportation conditions, culture practice, and/or antibiotic treatment administered before specimens are collected. Specimens that yield no growth in culture can still be analyzed using molecular methods, and metagenomic DNA (mDNA) extracted directly from clinical samples (CSF) can be used. We aimed to detect and characterize three major bacterial causes of cerebrospinal meningitis (CSM); Neisseria meningitidis, Haemophilus influenzae, and Streptococcus pneumoniae using mDNA extracted directly from CSF samples.

Methodology: Metagenomic DNA templates were prepared directly from CSF specimens collected from 210 patients with suspected CSM. A multiplex Real Time PCR (mRT-PCR) using the ABI StepOne Plus Machine and Taqman Probe chemistry was used in the molecular detection, while serogroup/serotype-specific singleplex RT-PCR was used to characterize all positives samples. Continue reading “Molecular detection and characterization of bacteria from CSF samples of patients with suspected cerebrospinal meningitis in parts of northern Nigeria using metagenomic DNA extracts”

Investigation Of An Epidemic Of Meningitis In Baruten Local Government Area Of Kwara State, Nigeria

TM Akande, JO Monehin

 

Abstract

This is a report of an investigation into an outbreak of meningitis in three communities of Baruten Local Government Area (LGA) of Kwara State, Nigeria. A total of 41 cases of cerebrospinal meningitis (CSM) were reported. There was a preponderance of males (78%). Thirty-eight (92.7%) did not receive CSF vaccine while the remaining 3 (7.3%) that receive the vaccine were vaccinated less than a week before the onset of illness. Case Fatality Rate (CFR) was 7.3%. About half (46.3%) of the cases were aged between 6-15 years. The outbreak could have been prevented if adequate supplies of CSM vaccine were provided and vaccination conducted early enough. Government policy of mass immunization against meningitis in November of every year should be implemented and properly monitored to prevent future outbreaks of meningitis and its resultant morbidity and mortality.
Key Words: Cerebrospinal meningitis, Outbreak, Kwara State, Nigeria.
Afr. J. Clin. Exper. Microbiol. 2004; 5 (3): 247-251
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