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An Unusual Case of Cutaneous Diphtheria
Max Bader, MD, MPH;
Alf H. B. Pedersen, MD, MPH;
Jean Spearman, RN, MN;
James P. Harnisch, MD
JAMA. 1978;240(13):1382-1383.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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SEATTLE-KING County has experienced an outbreak of diphtheria since 1972.1 It has been characterized mainly by cutaneous diphtheria among alcohol-using indigent adults in Seattle's Skid Road area. During this period, 749 cases and carriers of diphtheria were identified, and one, described here, was an unusual case of chronic intermittent cutaneous diphtheria.
Methods
For three years the patient was often seen at one of five health facilities: Harborview Medical Center (HMC), Seattle-King County Health Department Communicable Disease Control Clinic, Seattle City Jail, Seattle Indian Health Clinic, and Pioneer Square Neighborhood Health Center. There, the patient's skin lesions were swabbed with a sterile cotton-tipped applicator, and the material was either directly inoculated onto blood agar, tellurite, and Loeffler's blood culture media, or, in several of the facilities, Amies transport medium without charcoal was used initially. Nasopharyngeal and throat cultures were also obtained when the patient was examined at the Health Department.
. . . [Full Text PDF of this Article]
Author Affiliations
From the Seattle-King County Health Department, and Harborview Medical Center, University of Washington School of Medicine, Seattle. Dr Bader is currently an occupational epidemiologist for the Boeing Co. Dr Harnisch is currently in the private medical practice of dermatology and is a teaching associate in the Department of Medicine, University of Washington School of Medicine.
Footnotes
Reprint requests to Seattle-King County Health Department, 1102 Public Safety Bldg, Seattle, WA 98104 (Dr Pedersen).
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