Clinical features: Is an infection caused by corynebacterium diphtheria. It is directly transmitted from person to person by droplets. Children between 1-5 years of age are most susceptible although non-immune adults are also at risk. Diphtheria may be asymptomatic or symptoms are characterized by grayish-white membrane, compassed of dead cells, fibrin, leucocytes and red blood cells is seen as a results of inflammation due to multiplying bacteria.
Treatment guidelines
• Gently examine the child's throat - can cause airway obstruction if not carefully done
Drug of choice |
Procaine penicillin (IM) once daily for 7 days |
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Plus |
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Diphtheria antitoxin (IM or slow IV) 40,000 Units. |
NOTE Tracheostomy may be required for airways obstruction. |