title: [Cutaneous diphtheria after a minor injury in Sri Lanka].
abstract: Cutaneous dipththeria is an infectious bacterial disease endemic in tropical regions, but rarely diagnosed in Germany. Following travel in Sri Lanka, a 60-year-old German presented to our dermatological clinic with a skin ulcer and extensive erythematous erosive edema of his left foot. Corynebacterium diphtheriae was isolated from a swab of the lesion. There were no clinical signs of toxic diphtheria. The patient was treated with penicillin G and erythromycin, followed by a slow healing of the lesion. The isolated strain could be identified as toxigenic C. diphtheriae mitis. Due to increased travel activity, dermatologists should have uncommon infections like cutaneous diphtheria in mind.
authors.affiliation: Hautklinik am Klinikum Nürnberg-Nord, Prof.-Ernst-Nathan-Str. 1, 90419, Nürnberg, Deutschland. lars.berg@klinikum-nuernberg.de.
authors.forename: L
authors.initials: L
authors.lastname: Berg
authors.affiliation: Hautklinik am Klinikum Nürnberg-Nord, Prof.-Ernst-Nathan-Str. 1, 90419, Nürnberg, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Mechlin
authors.affiliation: Hautklinik am Klinikum Nürnberg-Nord, Prof.-Ernst-Nathan-Str. 1, 90419, Nürnberg, Deutschland.
authors.forename: E S
authors.initials: ES
authors.lastname: Schultz
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003353:Corynebacterium diphtheriae / Q000302:isolation & purification; D004165:Diphtheria / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D004359:Drug Therapy, Combination; D004917:Erythromycin / Q000008:administration & dosage; D016523:Foot Ulcer / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D005858:Germany; D006801:Humans; D022125:Lacerations / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology; D008875:Middle Aged; D010400:Penicillin G / Q000008:administration & dosage; D013188:Sri Lanka; D014195:Travel; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D004917:Erythromycin; D010400:Penicillin G
keywords: Corynebacterium diphtheriae; Diagnostic tests; Diphtheria of the skin; Infectious diseases; Therapy