[Pseudomembranous diphtheria caused by Corynebacterium ulcerans].
BACKGROUND
Pseudomembranous angina are classically caused by Corynebacterium diphtheriae. More rarely, it caused by Corynebacterium ulcerans, sometimes carrying the diphteric exotoxine. EXEGERIS: We report a new autochton case of pseudomembranous pharyngitis caused by C. ulcerans, carrying the diphteric exotoxine, transmitted by a dog, complicated of velopharyngitis and hypopharyngée paralysis, then of diphtheric polyneuritis.


CONCLUSIONS
Although exceptional, diphteria must always be evoked in front of a pseudomembranous angina. The insolation of C. ulcerans must make seek diphteric toxin and its complications.
Aaron
L
L
Service de Médecine Interne et Infectiologie, Hôpital de Bourges, 149, avenue F.-Mitterrand, 18020 Bourges cedex, France. laurent.aaron@ch-bourges.fr
Heurtebise
F
F
Bachelier
M N
MN
Guimard
Y
Y
D000368:Aged; D000658:Amoxicillin / Q000008:administration & dosage / Q000627:therapeutic use; D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000008:administration & dosage / Q000627:therapeutic use; D019818:Clavulanic Acid / Q000008:administration & dosage / Q000627:therapeutic use; D003352:Corynebacterium / Q000302:isolation & purification; D004165:Diphtheria / Q000188:drug therapy / Q000382:microbiology* / Q000635:transmission; D004285:Dogs; D004359:Drug Therapy, Combination; D005098:Exotoxins; D005260:Female; D006801:Humans; D010612:Pharyngitis / Q000188:drug therapy / Q000209:etiology; D013997:Time Factors; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D005098:Exotoxins; D019818:Clavulanic Acid; D002939:Ciprofloxacin; D000658:Amoxicillin