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==Natural History==
==Natural History==
* Before antibiotics the case fatality rate was over 50%, particularly dangerous in infants and elderly (84% and 72% respectively). Now it is often as low as 8% in major medical centers.
* Before antibiotics the case fatality rate was over 50%, particularly dangerous in infants and elderly (84% and 72% respectively). Now it is often as low as 8% in major medical centers.
==Risk Stratification and Prognosis==
* Current vaccines have polysaccharides of groups A, C, Y, and W-135. No vaccine available presently for group B disease since the polysaccharide is not sufficiently immunogenic to produce a reliable antibody response in humans to be effective.
* Rates of meningococcus in US college students as a whole 0.7 per 100,000.
* Rates of meningococcus in US persons aged 18-23 not in college 1.5 per 100,000.
* Rates of freshmen living in dormitories 4.6 per 100,000.
* Rates for college students in UK 13.2 per 100,000 versus those not in college of 5.5 per 100,000.


==References==
==References==

Revision as of 21:20, 8 February 2012

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

Natural History

  • Before antibiotics the case fatality rate was over 50%, particularly dangerous in infants and elderly (84% and 72% respectively). Now it is often as low as 8% in major medical centers.

Risk Stratification and Prognosis

  • Current vaccines have polysaccharides of groups A, C, Y, and W-135. No vaccine available presently for group B disease since the polysaccharide is not sufficiently immunogenic to produce a reliable antibody response in humans to be effective.
  • Rates of meningococcus in US college students as a whole 0.7 per 100,000.
  • Rates of meningococcus in US persons aged 18-23 not in college 1.5 per 100,000.
  • Rates of freshmen living in dormitories 4.6 per 100,000.
  • Rates for college students in UK 13.2 per 100,000 versus those not in college of 5.5 per 100,000.

References


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