An unusual case of post-trauma polymicrobial cutaneous diphtheria.

Authors:
Vivek Trikha
Vivek Trikha
All India Institute of Medical Sciences
India
Anupam Gupta
Anupam Gupta
National Institute of Mental Health and Neurosciences
India
Purva Mathur
Purva Mathur
All India Institute of Medical Sciences
India
Samarth Mittal
Samarth Mittal
All India Institute of Medical Sciences
India

Infection 2019 Apr 5. Epub 2019 Apr 5.

Department of Orthopedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.

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.

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Source
http://dx.doi.org/10.1007/s15010-019-01300-xDOI Listing
April 2019

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