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Fatal respiratory diphtheria in a visitor to Canada
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Fatal respiratory diphtheria in a visitor to Canada
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Journal Article
Fatal respiratory diphtheria in a visitor to Canada
2021
Overview
Diphtheria is a disease with a range of clinical manifestations and types. It is classified according to both anatomic site of infection and whether it is toxin producing or not. Respiratory diphtheria is caused by toxigenic strains of the gram-positive bacteria C. diphtheriae or, more rarely, by other toxigenic species (C. ulcerans and C. pseudotuberculosis). Initial symptoms of pharyngeal or tonsillar diphtheria typically include fever, pharyngitis, hoarse voice and enlarged cervical lymph nodes, progressing to upper airway obstruction and acute respiratory distress. Two classic signs of toxigenic respiratory diphtheria include a greyish-white membrane on the tonsils and significant swelling of the uvula, tonsils, cervical lymph nodes, anterior neck and submandibular area, resembling a \"bull neck.\" Here, Cholewa et al examine the case of a 69-year-old visitor to Canada with diphtheria.
