title: A case of pharyngeal diphtheria in Germany, June 2015.
abstract: BACKGROUND
  In June 2015, a 45-year-old man suffering from acute necrotic tonsillitis and throat phlegmon was hospitalized in Nuremberg, Germany. After emergency surgery the patient was initially treated with antibiotics.
  
  
  RESULTS
  A throat swab grew a toxigenic Corynebacterium diphtheriae biovar mitis strain. The patient's vaccination status was not documented and the patient was tested serologically for anti-diphtheria antibodies showing no protective immunity. Extensive control investigations were performed by the local health department showing no likely source of his infection.
  
  
  CONCLUSIONS
  No secondary cases were found and the patient completely recovered.
authors.affiliation: National Consiliary Laboratory for Diphtheria, 85764, Oberschleißheim, Germany.|Bavarian Health and Food Safety Authority, Veterinärstraße 2, 85764, Oberschleißheim, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Berger
authors.affiliation: Bavarian Health and Food Safety Authority, Veterinärstraße 2, 85764, Oberschleißheim, Germany.
authors.forename: D M
authors.initials: DM
authors.lastname: Meinel
authors.affiliation: Public Health Authority, City of Nuremberg, Nuremberg, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Schaffer
authors.affiliation: Institute for Clinical Hygiene, Microbiology and Infectiology, Klinikum Nürnberg, Nuremberg, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Ziegler
authors.affiliation: Otorhinolaryngology Clinic, Klinikum Nürnberg, Nuremberg, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Pitteroff
authors.affiliation: National Consiliary Laboratory for Diphtheria, 85764, Oberschleißheim, Germany.|Bavarian Health and Food Safety Authority, Veterinärstraße 2, 85764, Oberschleißheim, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Konrad
authors.affiliation: National Consiliary Laboratory for Diphtheria, 85764, Oberschleißheim, Germany. andreas.sing@lgl.bayern.de.|Bavarian Health and Food Safety Authority, Veterinärstraße 2, 85764, Oberschleißheim, Germany. andreas.sing@lgl.bayern.de.
authors.forename: Andreas
authors.initials: A
authors.lastname: Sing
mesh_terms: D000907:Antibodies, Bacterial / Q000097:blood; D003353:Corynebacterium diphtheriae / Q000276:immunology* / Q000302:isolation & purification; D004165:Diphtheria / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D010614:Pharynx / Q000382:microbiology; D014069:Tonsillitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D016896:Treatment Outcome
chemical_list: D000907:Antibodies, Bacterial
keywords: Corynebacterium diphtheriae; Diphtheria; MLST; Pseudomembranes; Toxigenic