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Erschienen in: Infection 6/2019

05.04.2019 | Case Report

An unusual case of post-trauma polymicrobial cutaneous diphtheria

verfasst von: Aishwarya Govindaswamy, Vivek Trikha, Anupam Gupta, Purva Mathur, Samarth Mittal

Erschienen in: Infection | Ausgabe 6/2019

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Abstract

We report a rare case of post-traumatic cutaneous diphtheria in a patient referred from a hospital in rural India. The diagnosis of cutaneous diphtheria was confirmed by the isolation of Corynebacterium diphtheriae cultured from the ulcer of the leg, along with Staphylococcus aureus, Streptococcus pyogenes, and Arcanobacterium haemolyticum. The patient was kept on isolation and treated with erythromycin for 14 days without antitoxin. He was discharged when his subsequent cultures turned out to be negative. Chemoprophylaxis was also given to his family members. Such a case highlights the revisiting of vaccination strategies and the role of cutaneous carriers in transmission of this deadly disease.
Literatur
2.
Zurück zum Zitat Livingood CS, Perry DJ, Forrester JS. Cutaneous diphtheria: a report of 140 cases 1. J Invest Dermatol. 1946;7:341–64.CrossRef Livingood CS, Perry DJ, Forrester JS. Cutaneous diphtheria: a report of 140 cases 1. J Invest Dermatol. 1946;7:341–64.CrossRef
3.
Zurück zum Zitat Abdul Rahim NR, Koehler AP, Shaw DD, Graham CR. Toxigenic cutaneous diphtheria in a returned traveller. Commun Dis Intell Q Rep. 2014;38:E298–300.PubMed Abdul Rahim NR, Koehler AP, Shaw DD, Graham CR. Toxigenic cutaneous diphtheria in a returned traveller. Commun Dis Intell Q Rep. 2014;38:E298–300.PubMed
4.
Zurück zum Zitat Clarke K. Review of the epidemiology of diphtheria 2000–2016. World Health Organisation, Geneva. 2017. Clarke K. Review of the epidemiology of diphtheria 2000–2016. World Health Organisation, Geneva. 2017.
6.
Zurück zum Zitat Murhekar M. Epidemiology of diphtheria in India, 1996–2016: implications for prevention and control. Am J Trop Med Hyg. 2017;97:313–8.CrossRef Murhekar M. Epidemiology of diphtheria in India, 1996–2016: implications for prevention and control. Am J Trop Med Hyg. 2017;97:313–8.CrossRef
7.
Zurück zum Zitat Koopman JS, Campbell J. The role of cutaneous diphtheria infections in a diphtheria epidemic. J Infect Dis. 1975;131:239–44.CrossRef Koopman JS, Campbell J. The role of cutaneous diphtheria infections in a diphtheria epidemic. J Infect Dis. 1975;131:239–44.CrossRef
8.
Zurück zum Zitat Lowe CF, Bernard KA, Romney MG. Cutaneous diphtheria in the urban poor population of Vancouver, British Columbia, Canada: a 10-year review. J Clin Microbiol. 2011;49:2664–6.CrossRef Lowe CF, Bernard KA, Romney MG. Cutaneous diphtheria in the urban poor population of Vancouver, British Columbia, Canada: a 10-year review. J Clin Microbiol. 2011;49:2664–6.CrossRef
9.
Zurück zum Zitat de Benoist A-C, White JM, Efstratiou A, Kelly C, Mann G, Nazareth B, et al. Imported cutaneous diphtheria, United Kingdom. Emerg Infect Dis. 2004;10:511–3.CrossRef de Benoist A-C, White JM, Efstratiou A, Kelly C, Mann G, Nazareth B, et al. Imported cutaneous diphtheria, United Kingdom. Emerg Infect Dis. 2004;10:511–3.CrossRef
10.
Zurück zum Zitat Tan TY, Ng SY, Thomas H, Chan BK. Arcanobacterium haemolyticum bacteraemia and soft-tissue infections: case report and review of the literature. J Infect. 2006;53:e69–74.CrossRef Tan TY, Ng SY, Thomas H, Chan BK. Arcanobacterium haemolyticum bacteraemia and soft-tissue infections: case report and review of the literature. J Infect. 2006;53:e69–74.CrossRef
11.
Zurück zum Zitat Wilson AP. Treatment of infection caused by toxigenic and non-toxigenic strains of Corynebacterium diphtheriae. J Antimicrob Chemother. 1995;35:717–20.CrossRef Wilson AP. Treatment of infection caused by toxigenic and non-toxigenic strains of Corynebacterium diphtheriae. J Antimicrob Chemother. 1995;35:717–20.CrossRef
Metadaten
Titel
An unusual case of post-trauma polymicrobial cutaneous diphtheria
verfasst von
Aishwarya Govindaswamy
Vivek Trikha
Anupam Gupta
Purva Mathur
Samarth Mittal
Publikationsdatum
05.04.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Infection / Ausgabe 6/2019
Print ISSN: 0300-8126
Elektronische ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-019-01300-x

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