Molecular tests can allow confirmation of invasive meningococcal disease when isolates yield atypical maltose, glucose or gamma-glutamyl peptidase test results

Pathology. 2005 Oct;37(5):378-9. doi: 10.1080/00313020500254586.

Abstract

Analysis of atypical meningococci from invasive disease that either (i) did not produce acid from maltose and glucose or (ii) were gamma-glutamyl peptidase test negative for porA and porB DNA variable region (VR) type, multilocus sequence type, and for presence of capsule transport gene ctrA, conclusively demonstrated that these are Neisseria meningitidis.

MeSH terms

  • DNA, Bacterial / analysis
  • Glucose / metabolism*
  • Humans
  • Immunoglobulin Variable Region
  • Maltose / metabolism*
  • Meningitis, Meningococcal / diagnosis*
  • Meningitis, Meningococcal / microbiology
  • Neisseria meningitidis / genetics
  • Neisseria meningitidis / isolation & purification*
  • Neisseria meningitidis / metabolism
  • Polymerase Chain Reaction / methods*
  • Porins / classification
  • Porins / genetics
  • Serotyping*
  • gamma-Glutamyltransferase / metabolism*

Substances

  • DNA, Bacterial
  • Immunoglobulin Variable Region
  • Porins
  • porin protein, Neisseria
  • Maltose
  • gamma-Glutamyltransferase
  • Glucose