Journal Article

Infection of the Skin Caused by <i>Corynebacterium ulcerans</i> and Mimicking Classical Cutaneous Diphtheria

Jutta Wagner, Ralf Ignatius, Stefan Voss, Volker Höpfner, Stefan Ehlers, Guido Funke, Ulrich Weber and Helmut Hahn

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 33, issue 9, pages 1598-1600
Published in print November 2001 | ISSN: 1058-4838
Published online November 2001 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/322969
Infection of the Skin Caused by Corynebacterium ulcerans and Mimicking Classical Cutaneous Diphtheria

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Extrapharyngeal infections caused by Corynebacterium ulcerans have rarely been reported previously, and diphtheria toxin production has usually not been addressed. This case demonstrates that strains of C. ulcerans that produce diphtheria toxin can cause infections of the skin that completely mimic typical cutaneous diphtheria, thereby potentially providing a source of bacteria capable of causing life-threatening diseases in the patient's environment. Therefore, it is recommended to screen wound swabs for coryneform bacteria, identify all isolates, carefully assess possible toxin production, and send questionable strains to a specialist or a reference laboratory.

Journal Article.  1814 words. 

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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