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
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Abstract
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)

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Published on : 2022-04-05

Vol : 8
Issue : 4
Month : April
Year : 2022
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