Dubai Medical Journal (Jan 2023)

Up-to-Date Review of Meningococcal Meningitis: Global Challenges and Recommendations

  • Nour Shaheen,
  • Abdelrahman Mohamed,
  • Youssef Soliman,
  • Omar Ahmed Abdelwahab,
  • Rehab Adel Diab,
  • Mariam Tarek Desouki,
  • Ala’ Abdala Rababah,
  • Abdulrhman Khaity,
  • Mahmoud Tarek Hefnawy,
  • Sarya Swed,
  • Abdulqadir J. Nashwan,
  • Ahmed Shaheen,
  • Almoatazbellah Attalla,
  • Mostafa Meshref

DOI
https://doi.org/10.1159/000527855

Abstract

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The Center for Disease Control and Prevention is warning about a new outbreak of meningococcal meningitis among gay, bisexual, and other men that have sex with men (MSM) due to multiple cases reported in Florida. Meningococcal meningitis (MM) is a bacterial infection often spread by direct contact or through respiratory droplet dissemination from an infected person to a host. Meningitis can cause a wide range of complications, from thrombosis to cerebral edema or even septic shocks as the bacteria thrive on colonizing the submucosa of blood vessels adjacent to inflamed meninges. The CDC urged MSM to immediately take the MenACWY vaccine. 200 years ago, several outbreaks have been recorded of the disease throughout history, the first being in Africa in the 1840s. The world cannot afford more outbreaks and serious measures should be taken to contend with and contain such potential threats. In this review, we aim to provide an updated investigation of the bacterial infection relevant to the current global health status and a revision on what governments, policymakers, health providers, and individuals should do to prevent the further spread of this fatal disease.

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