title: Unwanted baggage.
abstract: An elderly woman with a rapidly progressing lower leg ulcer presented with features of systemic inflammatory response syndrome (SIRS). The ulcer had occurred after hitting her leg against a piece of luggage. The causative pathogen in our case was by Corynebacterium ulcerans, demonstrated in bacterial cultures and by PCR. Disease progression was stopped only by Linezolid intravenous. after several other antibiotics failed to help. Diphtheria is known to most physicians as a respiratory disease caused by Corynebacterium diphtheria which is occurring in the developed world infrequently because of widespread use of immunisation programmes. However, cutaneous infection with diphtheria is increasingly being diagnosed.
authors: Department of Dermatology, University Hospital Tuebingen, Tübingen, Germany. nicolas.leitz@gmail.com
authors: Nicolas
authors: N
authors: Leitz
authors: Zarqa
authors: Z
authors: Leitz
authors: Martin
authors: M
authors: Schaller
mesh_terms: D000081:Acetamides / Q000627:therapeutic use; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003352:Corynebacterium; D003354:Corynebacterium Infections / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000150:complications / Q000382:microbiology*; D007871:Leg Ulcer / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D000069349:Linezolid; D023303:Oxazolidinones / Q000627:therapeutic use; D012867:Skin / Q000382:microbiology* / Q000473:pathology; D018746:Systemic Inflammatory Response Syndrome / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*
chemical_list: D000081:Acetamides; D000900:Anti-Bacterial Agents; D023303:Oxazolidinones; D000069349:Linezolid
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