Human Emerging and Re‐emerging Infections 2015
DOI: 10.1002/9781118644843.ch38
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Pathogenesis of Corynebacterium diphtheriae and Corynebacterium ulcerans

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Cited by 10 publications
(10 citation statements)
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“…At the beginning of the 20th century the introduction of mass vaccination with diphtheria toxoid vaccine led to a sharp decline of diphtheria cases (for review, see [4]). However, the disease was never fully eradicated and to date a few thousand cases are still reported to the World Health Organization every year [5,6]. Due to this persistence and an overall case-fatality rate of 5% to 10%, with higher death rates of up to 20% among patients younger than 5 years and in unprotected patients, C. diphtheriae is still present on the list of the most important global death-provoking pathogens [7].…”
Section: Introductionmentioning
confidence: 99%
“…At the beginning of the 20th century the introduction of mass vaccination with diphtheria toxoid vaccine led to a sharp decline of diphtheria cases (for review, see [4]). However, the disease was never fully eradicated and to date a few thousand cases are still reported to the World Health Organization every year [5,6]. Due to this persistence and an overall case-fatality rate of 5% to 10%, with higher death rates of up to 20% among patients younger than 5 years and in unprotected patients, C. diphtheriae is still present on the list of the most important global death-provoking pathogens [7].…”
Section: Introductionmentioning
confidence: 99%
“…C. ulcerans is an emerging pathogen [ 4 , 5 , 6 , 7 , 8 ], and during the past decade diphtheria-like infections with toxigenic C. ulcerans have outnumbered those caused by toxigenic C. diphtheriae in many industrialized countries [ 9 ]. Moreover, during the last years, other human infections associated with C. ulcerans appear to be increasing in various countries, and can most often be ascribed to zoonotic transmission (for an example, see References [ 10 , 11 ]; for a review, see Reference [ 7 ]).…”
Section: Introductionmentioning
confidence: 99%
“…Growth tests at different temperatures and analysis of PLD activity indicate that C. silvaticum growth and virulence is strictly dependent on temperatures around 37 °C, which fits with its isolation from abscesses in wild boar and roe deer. Furthermore, from this temperature profile, it may be expected that C. silvaticum will not cause skin infections as found for C. ulcerans and C. diphtheriae [ 15 ]. Furthermore, C. ulcerans 809 seem to have a temperature-regulated PLD expression, which solves the question as to why no PLD protein and activity was found in a previous study [ 31 ].…”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, also the closely related Corynebacterium ulcerans , which was first described in 1927 [ 13 ], can evoke diphtheria-like symptoms. In fact, cases of diphtheria associated with C. ulcerans infections have outnumbered cases attributed to C. diphtheriae in European countries [ 14 ] and consequently C. ulcerans is recognized as an emerging pathogen today [ 15 , 16 ]. C. ulcerans infections of humans are almost exclusively the result of zoonotic transmission.…”
Section: Introductionmentioning
confidence: 99%