ST-11 clonal complex serogroup C Neisseria Meningitidis strain in China
To the editor:The serogroups of Neisseria meningitidis (N.meningitidis) strains are distributed with distinct regional characteristic? Historically,meningococcal diseases in China have mainly been caused by serogroup A.2 Since the outbreaks in the Anhui province in 2003 and 2004,N.meningitidis serogroups A and C have become the major causative agents for most meningococcal diseases and most of serogroup A/serogroup C isolates belong to the ST-7/ST4821 complex,respectively.3 Strains of the serogroup C belonging to the ST-11/ET37 clonal complex which is prevalent in North America,Europe and Africa had previously not been observed in China.However,an isolate from a Kuwaiti case that resulted in the patient's death was identified as serogroup C ST-11/ET37 N.meningitidis clonal complex in July,2011,in Beijing.This is the first ST-1 lclonal complex serogroup C N.Meningitidis strain in China.
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