- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- 8.1 Pathogenic microorganisms and the host
- 8.2 The patient with suspected infection
- 8.3 Immunization
- 8.4 Travel and expedition medicine
- 8.5 Viruses
- 8.6 Bacteria
- 8.6.1 Diphtheria
- 8.6.2 Streptococci and enterococci
- 8.6.3 Pneumococcal infections
- 8.6.4 Staphylococci
- 8.6.5 Meningococcal infections
- 8.6.6 Neisseria gonorrhoeae
- 8.6.7 Enterobacteria and bacterial food poisoning
- 8.6.8 Pseudomonas aeruginosa
- 8.6.9 Typhoid and paratyphoid fevers
- 8.6.10 Intracellular klebsiella infections (donovanosis and rhinoscleroma)
- 8.6.11 Anaerobic bacteria
- 8.6.12 Cholera
- 8.6.13 Haemophilus influenzae
- 8.6.14 <i>Haemophilus ducreyi</i> and chancroid
- 8.6.15 Bordetella infection
- 8.6.16 Melioidosis and glanders
- 8.6.17 Plague: Yersinia pestis
- 8.6.18 Other <i>Yersinia</i> infections: Yersiniosis
- 8.6.19 Pasteurella
- 8.6.20 <i>Francisella tularensis</i> infection
- 8.6.21 Anthrax
- 8.6.22 Brucellosis
- 8.6.23 Tetanus
- 8.6.24 Clostridium difficile
- 8.6.25 Botulism, gas gangrene, and clostridial gastrointestinal infections
- 8.6.26 Tuberculosis
- 8.6.27 Disease caused by environmental mycobacteria
- 8.6.28 Leprosy (Hansen’s disease)
- 8.6.29 Buruli ulcer: <i>Mycobacterium ulcerans</i> infection
- 8.6.30 Actinomycoses
- 8.6.31 Nocardiosis
- 8.6.32 Rat bite fevers (<i>Streptobacillus moniliformis</i> and <i>Spirillum minus</i> infection)
- 8.6.33 Lyme borreliosis
- 8.6.34 Relapsing fevers
- 8.6.35 Leptospirosis
- 8.6.36 Nonvenereal endemic treponematoses: Yaws, endemic syphilis (bejel), and pinta
- 8.6.37 Syphilis
- 8.6.38 Listeriosis
- 8.6.39 Legionellosis and legionnaires’ disease
- 8.6.40 Rickettsioses
- 8.6.41 Scrub typhus
- 8.6.42 <i>Coxiella burnetii</i> infections (Q fever)
- 8.6.43 Bartonellas excluding <i>B. bacilliformis</i>
- 8.6.44 <i>Bartonella bacilliformis</i> infection
- 8.6.45 Chlamydial infections
- 8.6.46 Mycoplasmas
- 8.6.47 A checklist of bacteria associated with infection in humans
- 8.7 Fungi (mycoses)
- 8.8 Protozoa
- 8.9 Nematodes (roundworms)
- 8.10 Cestodes (tapeworms)
- 8.11 Trematodes (flukes)
- 8.12 Nonvenomous arthropods
- 8.13 Pentastomiasis (porocephalosis, linguatulosis/linguatuliasis, or tongue worm infection)
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine
(p. 958) Bacteria
Diphtheria is a potentially lethal infection caused by toxin-producing strains of Corynebacterium diphtheria, a Gram-positive bacillus. Humans are the only known reservoir, with spread via respiratory droplets or direct contact with skin lesions. Although now rare in developed countries, this vaccine-preventable disease remains an important problem in countries with poor or failing health systems, and is estimated to cause about 5,000 deaths per year worldwide, most in children under 5 years of age. Diphtheria develops when toxigenic bacteria lodge in the upper airway or on the skin of a susceptible individual. An intense inflammatory reaction develops, leading to a characteristic greyish-coloured pseudomembrane that is adherent to underlying tissues. Systemic effects are caused by release of diphtheria toxin, carried by a lysogenic corynebacteriophage, a single molecule of factor A of which can kill a eukaryotic cell.
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- Section 1 Patients and their treatment
- Section 2 Background to medicine
- Section 3 Cell biology
- Section 4 Immunological mechanisms
- Section 5 Principles of clinical oncology
- Section 6 Old age medicine
- Section 7 Pain and palliative care
- Section 8 Infectious diseases
- 8.1 Pathogenic microorganisms and the host
- 8.2 The patient with suspected infection
- 8.3 Immunization
- 8.4 Travel and expedition medicine
- 8.5 Viruses
- 8.6 Bacteria
- 8.6.1 Diphtheria
- 8.6.2 Streptococci and enterococci
- 8.6.3 Pneumococcal infections
- 8.6.4 Staphylococci
- 8.6.5 Meningococcal infections
- 8.6.6 Neisseria gonorrhoeae
- 8.6.7 Enterobacteria and bacterial food poisoning
- 8.6.8 Pseudomonas aeruginosa
- 8.6.9 Typhoid and paratyphoid fevers
- 8.6.10 Intracellular klebsiella infections (donovanosis and rhinoscleroma)
- 8.6.11 Anaerobic bacteria
- 8.6.12 Cholera
- 8.6.13 Haemophilus influenzae
- 8.6.14 <i>Haemophilus ducreyi</i> and chancroid
- 8.6.15 Bordetella infection
- 8.6.16 Melioidosis and glanders
- 8.6.17 Plague: Yersinia pestis
- 8.6.18 Other <i>Yersinia</i> infections: Yersiniosis
- 8.6.19 Pasteurella
- 8.6.20 <i>Francisella tularensis</i> infection
- 8.6.21 Anthrax
- 8.6.22 Brucellosis
- 8.6.23 Tetanus
- 8.6.24 Clostridium difficile
- 8.6.25 Botulism, gas gangrene, and clostridial gastrointestinal infections
- 8.6.26 Tuberculosis
- 8.6.27 Disease caused by environmental mycobacteria
- 8.6.28 Leprosy (Hansen’s disease)
- 8.6.29 Buruli ulcer: <i>Mycobacterium ulcerans</i> infection
- 8.6.30 Actinomycoses
- 8.6.31 Nocardiosis
- 8.6.32 Rat bite fevers (<i>Streptobacillus moniliformis</i> and <i>Spirillum minus</i> infection)
- 8.6.33 Lyme borreliosis
- 8.6.34 Relapsing fevers
- 8.6.35 Leptospirosis
- 8.6.36 Nonvenereal endemic treponematoses: Yaws, endemic syphilis (bejel), and pinta
- 8.6.37 Syphilis
- 8.6.38 Listeriosis
- 8.6.39 Legionellosis and legionnaires’ disease
- 8.6.40 Rickettsioses
- 8.6.41 Scrub typhus
- 8.6.42 <i>Coxiella burnetii</i> infections (Q fever)
- 8.6.43 Bartonellas excluding <i>B. bacilliformis</i>
- 8.6.44 <i>Bartonella bacilliformis</i> infection
- 8.6.45 Chlamydial infections
- 8.6.46 Mycoplasmas
- 8.6.47 A checklist of bacteria associated with infection in humans
- 8.7 Fungi (mycoses)
- 8.8 Protozoa
- 8.9 Nematodes (roundworms)
- 8.10 Cestodes (tapeworms)
- 8.11 Trematodes (flukes)
- 8.12 Nonvenomous arthropods
- 8.13 Pentastomiasis (porocephalosis, linguatulosis/linguatuliasis, or tongue worm infection)
- Section 9 Sexually transmitted diseases
- Section 10 Environmental medicine, occupational medicine, and poisoning
- Section 11 Nutrition
- Section 12 Metabolic disorders
- Section 13 Endocrine disorders
- Section 14 Medical disorders in pregnancy
- Section 15 Gastroenterological disorders
- Section 16 Cardiovascular disorders
- Section 17 Critical care medicine
- Section 18 Respiratory disorders
- Section 19 Rheumatological disorders
- Section 20 Disorders of the skeleton
- Section 21 Disorders of the kidney and urinary tract
- Section 22 Haematological disorders
- Section 23 Disorders of the skin
- Section 24 Neurological disorders
- Section 25 Disorders of the eye
- Section 26 Psychiatric and drug-related disorders
- Section 27 Forensic medicine
- Section 28 Sport and exercise medicine
- Section 29 Biochemistry in medicine
- Section 30 Acute medicine