Neisseria mucosa
Neisseria mucosa is a species of Gram-negative, oxidase-positive, aerobic bacteria belonging to the genus Neisseria. It is commonly found as part of the normal flora of the human mucous membranes in the upper respiratory tract, but it can also inhabit various other mucosal surfaces. Unlike some of its pathogenic relatives, such as Neisseria gonorrhoeae and Neisseria meningitidis, Neisseria mucosa is generally considered non-pathogenic and is not commonly associated with disease. However, it has been occasionally implicated in opportunistic infections, particularly in individuals with compromised immune systems.
Characteristics
Neisseria mucosa is characterized by its ability to grow in pairs (diplococci) and sometimes in short chains. The bacteria are encapsulated, which contributes to their identification in laboratory settings. They are capable of producing catalase and cytochrome oxidase, which are enzymes used in biochemical tests for bacterial identification. Neisseria mucosa can be differentiated from pathogenic Neisseria species by its ability to ferment glucose, maltose, and sucrose, a trait not shared by N. gonorrhoeae or N. meningitidis.
Habitat and Ecology
As a commensal organism, Neisseria mucosa primarily resides in the mucosal surfaces of the human body, such as the nasopharynx, where it forms part of the normal flora. Its presence is generally benign, and it plays a role in the microbial ecosystem by competing with pathogenic bacteria for nutrients and space, potentially preventing their overgrowth and subsequent infection.
Clinical Significance
While Neisseria mucosa is not a common cause of infections, there have been rare cases where it has been associated with diseases such as bacteremia, endocarditis, and conjunctivitis, especially in individuals with weakened immune systems or underlying health conditions. Its identification in clinical specimens requires careful interpretation, as its presence may be indicative of colonization rather than infection.
Diagnosis and Treatment
The diagnosis of Neisseria mucosa-related infections involves the isolation and identification of the bacterium from clinical specimens, using both culture and non-culture based methods. Treatment typically involves the use of antibiotics, although the bacterium's susceptibility profile may vary, and antibiotic resistance can be a concern. As with all infections, appropriate antimicrobial susceptibility testing is recommended to guide therapy.
Prevention
Given its role as part of the normal flora, specific measures to prevent Neisseria mucosa colonization are not generally recommended. However, maintaining good general health and a strong immune system can help prevent opportunistic infections caused by commensal organisms.
See Also
References
External Links
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Contributors: Prab R. Tumpati, MD