Rev Infect Dis. 1991 Mar-Apr;13(2):216-8.

Neisseria lactamica meningitis following skull trauma.

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Department of Medicine, Santa Clara Valley Medical Center, San Jose, California.

Abstract

A woman developed meningitis due to Neisseria lactamica in association with a cribriform plate fracture. Cerebrospinal fluid antigen tests for Neisseria meningitidis were negative. The patient recovered with intravenous penicillin therapy. N. lactamica can be rapidly distinguished from N. meningitidis by the hydrolysis of ONPG (o-nitrophenyl-beta-D-galactopyranoside). In contrast to N. meningitidis and Neisseria gonorrhoeae, N. lactamica lacks virulence properties. As 100% of N. lactamica strains are susceptible to penicillin and all three previously described patients with N. lactamica meningitis have recovered with penicillin treatment, the reason for distinguishing the organisms in this context is primarily to prevent unnecessary anxiety and prophylaxis among contacts.

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Cited by 8 PubMed Central articles

Independent evolution of the core and accessory gene sets in the genus Neisseria: insights gained from the genome of Neisseria lactamica isolate 020-06. [BMC Genomics. 2010]
Independent evolution of the core and accessory gene sets in the genus Neisseria: insights gained from the genome of Neisseria lactamica isolate 020-06.
Bennett JS, Bentley SD, Vernikos GS, Quail MA, Cherevach I, White B, Parkhill J, Maiden MC. BMC Genomics. 2010 Nov 23; 11:652. Epub 2010 Nov 23.
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Liu X, Wetzler LM, Nascimento LO, Massari P. Infect Immun. 2010 Dec; 78(12):5314-23. Epub 2010 Oct 11.
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Everts RJ, Speers D, George ST, Ansell BJ, Karunajeewa H, Ramos RD. J Clin Microbiol. 2010 Jun; 48(6):2318. Epub 2010 Apr 21.

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