A case of respiratory diphtheria in a child
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 6
Abstract
Diphtheria is a highly communicable bacterial disease. It is a severe and sometimes fatal disease caused by toxin producing strain of Corynebacterium diphtheria also known as Klebs-Loeffler bacilli. The disease mainly involve tonsillar, pharyngeal, laryngeal, nasal, otitic and conjunctival mucosa. Respiratory diphtheria is characterised by infection involving the tonsil(s), pharynx and/or larynx, low-grade fever with or without an asymmetrical greyish-white adherent membrane of the tonsil(s), pharynx and/or nose. Route of entry is respiratory tract. After mass vaccination program against diphtheria have been established, the disease became very rare, now a days. A 6year old male child presented with low-grade fever for 6 days, painful swallowing for 6 days and swelling of neck glands in department of ENT, Silchar Medical College and Hospital. On examination, dirty white membrane on both of tonsils and posterior pharyngeal membrane seen. Throat swab from the membrane shows presence of Klebs-Loeffler like bacilli in direct staining. The specimen is further plated in blood agar and tellurite blood agar medium and Corynebacterium diphtheria bacilli are isolated. Patient was started on intravenous antibiotic therapy and referred to Calcutta Medical College and hospital, West Bengal, for administration of antidiphtheritic serum (ADS). Following ADS and antibiotic administration, the patient recovered fully.
Authors and Affiliations
Gunamani Thakuria, A K Borthakur, S S Sen
Keywords
Related Articles
- EP ID EP207090
- DOI -
- Views 102
- Downloads 0
Study of cytomorphological features of hashimoto’s thyroiditis and their correlation with serological findings
Introduction: Hashimoto’s thyroiditis is an autoimmune disease that most often affects middle aged females. This study highlights the cytomorphological featuserological findings. Res of HT and helps to define a grading c...
A study of maternal and perinatal outcome of breech presentation in vaginal and operative deliveries in a university hospital
Introduction: Most newborns are born with cephalic presentation, but at the end of pregnancy, around 3-4% is found to be breech. Caesarean section for breech presentation has been suggested as a way of reducing the assoc...
Prevalence of dengue fever and its outcome at Pediatric inpatient department: A hospital based study
Introduction: Dengue infections are caused by four antigenic ally distinct dengue virus serotypes (DENV-1,2,3,4) and transmitted by the bite of an infected female mosquito- Aedesaegypti. Clinical spectrum of infection wi...
Proper knowledge of contraceptive measures: Checking the population inflation
Introduction: The oldest and best-known demographic theory was formulated to explain the fertility decline that occurred in the West from the late nineteenth century through the 1930s (Davis 1945). Effects of Proper Know...
Prevalence of modifiable risk factors in patients of thrombotic CVA
Background: CVA is a major cause of morbidity and mortality worldwide. It may result from brain infarction or haemorrhage. Majority are due to ischemic cerebral infarction. Ischemia may result from occlusion of blood ves...