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Further information on these aspects is essential to understand the dynamics of meningococcal infection and the main factors leading from asymptomatic colonization to disease onset, as well as the evolution of the pathogenic phenotype in Neisseria , in line with the idea that microbial pathogenicity is a multifactorial and complex trait, as indicated by Ren Dubos in the mid-1990s, who also challenged the then-dominant notion of bacterial fixity and urged bacteriologists to take note of the plasticity of bacteria in order to be ready to deal with them (Dubos, 1955, Dubos, 1959)

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10.1016/j.ajpath.2013.05.023 50 SuzukiK.KontaT.KudoK.SatoH.IkedaA.IchikawaK.et al (2013)

Additionally, even if its covered, patients may still be responsible for co-pays or out-of-pocket costs, depending on their insurances tiered pricing structure