Adult diphtheria in Malaysia: A case report

In November 2016, a 28-year-old Malay man presented to the emergency department in respiratory distress, with a history of fever and sore throat. A clinical diagnosis of acute diphtheria was made and the patient was isolated and ventilated in the intensive care unit, and received diphtheria antitoxi...

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Main Authors: Loganathan, Tharani, Yusof, Mohamed Paid
Format: Article
Published: Malaysian Medical Association 2018
Subjects:
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author Loganathan, Tharani
Yusof, Mohamed Paid
author_facet Loganathan, Tharani
Yusof, Mohamed Paid
author_sort Loganathan, Tharani
collection UM
description In November 2016, a 28-year-old Malay man presented to the emergency department in respiratory distress, with a history of fever and sore throat. A clinical diagnosis of acute diphtheria was made and the patient was isolated and ventilated in the intensive care unit, and received diphtheria antitoxin and intravenous antibiotics. Initial laboratory findings failed to confirm diphtheria, leading to discontinuation of antibiotics and quarantine. Public health measures were reinstated after a reference laboratory cultured Corynebacterium diphtheriae. Although there was no contact with ill persons, investigation revealed incomplete immunisation history, and injection of high dose steroids prior to onset of symptoms.
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spelling um.eprints-214072019-05-30T02:09:11Z http://eprints.um.edu.my/21407/ Adult diphtheria in Malaysia: A case report Loganathan, Tharani Yusof, Mohamed Paid R Medicine In November 2016, a 28-year-old Malay man presented to the emergency department in respiratory distress, with a history of fever and sore throat. A clinical diagnosis of acute diphtheria was made and the patient was isolated and ventilated in the intensive care unit, and received diphtheria antitoxin and intravenous antibiotics. Initial laboratory findings failed to confirm diphtheria, leading to discontinuation of antibiotics and quarantine. Public health measures were reinstated after a reference laboratory cultured Corynebacterium diphtheriae. Although there was no contact with ill persons, investigation revealed incomplete immunisation history, and injection of high dose steroids prior to onset of symptoms. Malaysian Medical Association 2018 Article PeerReviewed Loganathan, Tharani and Yusof, Mohamed Paid (2018) Adult diphtheria in Malaysia: A case report. Medical Journal of Malaysia, 73 (5). pp. 340-341. ISSN 0300-5283, http://www.e-mjm.org/2018/v73n5/adult-diphtheria.pdf
spellingShingle R Medicine
Loganathan, Tharani
Yusof, Mohamed Paid
Adult diphtheria in Malaysia: A case report
title Adult diphtheria in Malaysia: A case report
title_full Adult diphtheria in Malaysia: A case report
title_fullStr Adult diphtheria in Malaysia: A case report
title_full_unstemmed Adult diphtheria in Malaysia: A case report
title_short Adult diphtheria in Malaysia: A case report
title_sort adult diphtheria in malaysia a case report
topic R Medicine
work_keys_str_mv AT loganathantharani adultdiphtheriainmalaysiaacasereport
AT yusofmohamedpaid adultdiphtheriainmalaysiaacasereport