Diphtheria, gangrenous A36.3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Development from phlegmonous diphtheria through additional mixed infection with streptococci and staphylococci, increased toxin formation.

Clinical features
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Black, necrotic skin area. Death by vasomotor collapse, paralysis.

Therapy
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Early intensive medical care, high-dose antibiosis with gentamicin (e.g. refobacin) once/day 240 mg i.v. in combination with ceftriaxone (e.g. rocephin) once/day 2 g i.v., as soon as possible after antibiogram

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Last updated on: 29.10.2020