NON-TOXIGENIC DIPTHERIA SEPTICEMIA IN DIABETIC FOOT: - THE RETURNING REAPER OF DEATH
Dr. Snehasis Smrutiranjan Das, Dr. Christu Raja Nambi, Dr. Mari raj M, Dr. Gopal Balasubramanian
Corynebacterium diphtheria is an assassin of the past with near total eradication in view of extensive vaccination around the world. Usually presenting as a respiratory ailment, its pathogenesis is aided by the toxaemia instead of bacteraemia. Nevertheless, over the last 20-30 years, cutaneous forms of diphtheria have been increasing in trend affecting the immunocompromised in the form of an opportunistic infection. Although bacteraemia is a rare occurrence, it has been found to cause systemic sepsis with multi-organ involvement in the form of encephalitis, cardiomyopathy, endocarditis and osteoarthritis. Herein we present a rare case of right diabetic foot with uncontrolled glycaemic state in systemic sepsis presenting with Corynebacterium diphtheria as the causative organism with significant colony count.
Keywords: Corynebacterium diphtheria, toxaemia, MODS, tellurite agar, jet black colony
Journal Name :
EPRA International Journal of Multidisciplinary Research (IJMR)
Published on : 2022-04-05