Invasive Meningococcal Disease in Men Who Have Sex With Men
Authors: Matthew S. Simon, Don Weiss, Roy M. Gulick
Journal: Annals of Internal Medicine (2013)

Ideas and OpinionsAugust 20, 2013Invasive Meningococcal Disease in Men Who Have Sex With MenMatthew S. Simon, MD, Don Weiss, MD, MPH, and Roy M. Gulick, MD, MPHMatthew S. Simon, MDFrom Weill Cornell Medical College and the New York City Department of Health and Mental Hygiene, New York, New York., Don Weiss, MD, MPHFrom Weill Cornell Medical College and the New York City Department of Health and Mental Hygiene, New York, New York., and Roy M. Gulick, MD, MPHFrom Weill Cornell Medical College and the New York City Department of Health and Mental Hygiene, New York, New York.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-159-4-201308200-00674 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Since August 2010, 22 cases of invasive meningococcal disease (IMD) among men who have sex with men (MSM) have been reported to the New York City Department of Health and Mental Hygiene (NYC DOHMH) (1). Seven of these men died. The mean age was 34 years, 50% were African American, and 55% were infected with HIV. Among the 12 patients with HIV infection, the median CD4 count was 525 × 109 cells/L, and 70% of patients had a viral load level less than 200 copies/mL within 90 days of IMD diagnosis. In 2012, meningococcal incidence among NYC MSM was 50-fold ...References1. 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[PMID: 22622049] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Weill Cornell Medical College and the New York City Department of Health and Mental Hygiene, New York, New York.Acknowledgment: The authors thank Marcelle Layton, MD, MPH; Jane Zucker, MD, MSc; and Jay K. Varma, MD, of the New York City Department of Health and Mental Hygiene for their thoughtful comments.Grant Support: In part by grant UL1 TR000457 from the Clinical and Translational Science Center at Weill Cornell Medical College.Disclosures: None disclosed. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-1088.Corresponding Author: Matthew S. Simon, MD, Weill Cornell Medical College, Department of Public Health, 402 East 67th Street, New York, NY 10065; e-mail, [email protected].Current Author Addresses: Dr. Simon: Weill Cornell Medical College, Department of Public Health, 402 East 67th Street, New York, NY 10065.Dr. Weiss: New York City Department of Health and Mental Hygiene, Bureau of Communicable Diseases, Gotham Center, CN-22a, 42-09 28th Street, 6th Floor, New York, NY 11101.Dr. Gulick: Weill Cornell Medical College, Division of Infectious Diseases, 1300 York Avenue, Box 125, New York, NY 10065.Author Contributions: Conception and design: M.S. Simon, D. Weiss, R. Gulick.Analysis and interpretation of the data: M.S. Simon, D. Weiss.Drafting of the article: M.S. Simon, R. Gulick.Critical revision of the article for important intellectual content: M.S. Simon, D. Weiss, R. Gulick.Final approval of the article: M.S. Simon, D. Weiss, R. Gulick.Administrative, technical, or logistic support: R. Gulick.Collection and assembly of data: M.S. Simon, D. Weiss.This article was published at www.annals.org on 18 June 2013. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByElevated Risk for Invasive Meningococcal Disease Among Persons With HIVLaura Miller, MPH, Lola Arakaki, MPH, Arianne Ramautar, MPH, Sara Bodach, MPH, Sarah L. Braunstein, PhD, MPH, Joseph Kennedy, MPH, Linda Steiner-Sichel, RN, MPH, Stephanie Ngai, BA, Colin Shepard, MD, and Don Weiss, MD, MPH August 20, 2013Volume 159, Issue 4Page: 300-301KeywordsAddictsAdolescentsConjugate vaccinesEpidemiologyForecastingHIVHIV infectionsMedical risk factorsMeningococcal diseaseMolecular epidemiologyNeisseria meningitidisPrevention, policy, and public healthPsychiatry and mental healthPulsed-field gel electrophoresisSafetyUpper respiratory tract infectionsVaccinesViral loadYoung adults Issue Published: August 20, 2013 CopyrightCopyright © by American College of Physicians. 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