title: [A tropical ulcer; cutaneous diphtheria].
abstract: A 43-year-old woman, born in the Netherlands, developed ulcers on her left foot during a holiday in Gambia and Senegal. She had been bitten bij insects. The ulcers were caused by Corynebacterium diphtheriae. The patient was treated with antibiotics and recovered fully. A grey pseudomembrane covering the ulcer is a characteristic feature of cutaneous diphtheria. The treatment is with antibiotics and, after toxin tests have indicated that the bacterium is toxigenic, with antitoxin. In some cases screening of social contacts is advised.
authors.affiliation: Diagnostisch Centrum SSDZ, afd. Medische Microbiologie, Delft.
authors.forename: B F
authors.initials: BF
authors.lastname: Werdmuller
authors.forename: M
authors.initials: M
authors.lastname: Brakman
authors.forename: R W
authors.initials: RW
authors.lastname: Vreede
mesh_terms: D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents; D003353:Corynebacterium diphtheriae / Q000302:isolation & purification*; D004165:Diphtheria / Q000188:drug therapy / Q000382:microbiology* / Q000635:transmission; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D016523:Foot Ulcer / Q000382:microbiology*; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications; D007303:Insect Vectors
chemical_list: D000900:Anti-Bacterial Agents