Severe diphtheria with neurologic and myocardial involvement in a Swedish patient : A case report
(2018) In BMC Infectious Diseases 18(1).- Abstract
Background: Diphtheria is caused by Corynebacterium diphtheriae. Although waning in incidence diphtheria can cause severe disease as in this rare Swedish case with several complications. Case presentation: A 55-year old male presented to the emergency room with severe respiratory symptoms and greyish membranes in the airways, which turned positive for C. diphtheriae. He was put on ventilator support and remained hospitalized for three months. During care he developed myocarditis and severe neurological disease and he was also co-infected with tuberculosis. The patient was discharged with a favorable outcome. Conclusions: Diphtheria should be suspected in patients with life-threatening pneumonia especially if the patient has a history of... (More)
Background: Diphtheria is caused by Corynebacterium diphtheriae. Although waning in incidence diphtheria can cause severe disease as in this rare Swedish case with several complications. Case presentation: A 55-year old male presented to the emergency room with severe respiratory symptoms and greyish membranes in the airways, which turned positive for C. diphtheriae. He was put on ventilator support and remained hospitalized for three months. During care he developed myocarditis and severe neurological disease and he was also co-infected with tuberculosis. The patient was discharged with a favorable outcome. Conclusions: Diphtheria should be suspected in patients with life-threatening pneumonia especially if the patient has a history of travelling. Our patient was not treated with diphtheria anti-toxin (DAT) which may have contributed to the severity of the disease.
(Less)
- author
- Skogmar, Sten LU and Tham, Johan LU
- organization
- publishing date
- 2018-07-31
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Corynebacterium diphtheriae, Diphtheria, Immunization, Myocarditis, Neurological manifestations, Respiratory disease, Tuberculosis
- in
- BMC Infectious Diseases
- volume
- 18
- issue
- 1
- article number
- 359
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:85050750329
- pmid:30064365
- ISSN
- 1471-2334
- DOI
- 10.1186/s12879-018-3264-9
- language
- English
- LU publication?
- yes
- id
- 79a316ea-b9d0-419c-ae8e-b88326150ef2
- date added to LUP
- 2018-08-16 16:04:49
- date last changed
- 2024-03-18 12:58:17
@article{79a316ea-b9d0-419c-ae8e-b88326150ef2,
abstract = {{<p>Background: Diphtheria is caused by Corynebacterium diphtheriae. Although waning in incidence diphtheria can cause severe disease as in this rare Swedish case with several complications. Case presentation: A 55-year old male presented to the emergency room with severe respiratory symptoms and greyish membranes in the airways, which turned positive for C. diphtheriae. He was put on ventilator support and remained hospitalized for three months. During care he developed myocarditis and severe neurological disease and he was also co-infected with tuberculosis. The patient was discharged with a favorable outcome. Conclusions: Diphtheria should be suspected in patients with life-threatening pneumonia especially if the patient has a history of travelling. Our patient was not treated with diphtheria anti-toxin (DAT) which may have contributed to the severity of the disease.</p>}},
author = {{Skogmar, Sten and Tham, Johan}},
issn = {{1471-2334}},
keywords = {{Corynebacterium diphtheriae; Diphtheria; Immunization; Myocarditis; Neurological manifestations; Respiratory disease; Tuberculosis}},
language = {{eng}},
month = {{07}},
number = {{1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Infectious Diseases}},
title = {{Severe diphtheria with neurologic and myocardial involvement in a Swedish patient : A case report}},
url = {{http://dx.doi.org/10.1186/s12879-018-3264-9}},
doi = {{10.1186/s12879-018-3264-9}},
volume = {{18}},
year = {{2018}},
}