Transmission Dynamics and Microevolution of Neisseria meningitidis During Carriage and Invasive Disease in High School Students in Georgia and Maryland, 2006-2007.
Mustapha M MustaphaJane W MarshKathleen A ShuttJessica SchlackmanChinelo EzeonwukaMonica M FarleyDavid S StephensXin WangDaria Van TyneLee H HarrisonPublished in: The Journal of infectious diseases (2022)
We found strong evidence of local meningococcal transmission at both the school and county levels. Allelic variation within genes encoding bacterial surface structures, particularly pilE, was common.