{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T17:39:54Z","timestamp":1763746794308},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"852","license":[{"start":{"date-parts":[[1996,10,1]],"date-time":"1996-10-01T00:00:00Z","timestamp":844128000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1996,10,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>We report the case of a 32-year-old woman who presented upon returning from India with cutaneous ulcers on the feet and pharyngitis. Microbiological testing showed the causative organism to be a toxigenic strain of Corynebacterium diphtheriae. She was treated successfully with penicillin and diphtheria antitoxin. This case emphasises the importance of maintaining a high index of suspicion for such rare but significant infectious diseases.<\/jats:p>","DOI":"10.1136\/pgmj.72.852.619","type":"journal-article","created":{"date-parts":[[2008,12,29]],"date-time":"2008-12-29T21:49:00Z","timestamp":1230587340000},"page":"619-620","source":"Crossref","is-referenced-by-count":13,"title":["Cutaneous and pharyngeal diphtheria imported from the Indian subcontinent"],"prefix":"10.1093","volume":"72","author":[{"given":"P E","family":"Hart","sequence":"first","affiliation":[{"name":"Department of Communicable Diseases, St Georges\u2019 Hospital , Blackshaw Road, London SW17 OQT , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P Y","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Microbiology, St Georges\u2019 Hospital , Blackshaw Road, London SW17 OQT , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D C","family":"Macallan","sequence":"additional","affiliation":[{"name":"Department of Communicable Diseases, St Georges\u2019 Hospital , Blackshaw Road, London SW17 OQT , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M H","family":"Wansbrough-Jones","sequence":"additional","affiliation":[{"name":"Department of Communicable Diseases, St Georges\u2019 Hospital , Blackshaw Road, London SW17 OQT , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1996,10,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1056\/NEJM198801073180108","article-title":"Diphtheria outbreaks in immunized populations","volume":"318","author":"Karzon, D.T.; Edwards, K.M.","year":"1988","unstructured":"Karzon DT, Edwards KM. Diphtheria outbreaks in immunized populations. NEnglJtMed 1988; 318: 41-3","journal-title":"NEnglJtMed"},{"issue":"840-41","key":"ref_2","first-page":"847","article-title":"Diphtheria outbreak: Russian Federation, 1990-1993","volume":"42","year":"1993","unstructured":"Diphtheria outbreak: Russian Federation, 1990-1993. A'IMWR 1993; 42: 840-41, 847.","journal-title":"A'IMWR"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1136\/adc.63.2.194","article-title":"the continuing hazard","volume":"63","author":"Bowler, I.C.J.; Mandal, B.K.; Schlecht, B.; Diphtheria, Riorden T.","year":"1988","unstructured":"Bowler ICJ, Mandal BK, Schlecht B, Riorden T. Diphtheria, the continuing hazard. Arch Dis Child 1988; 63: 194-210.","journal-title":"Arch Dis Child"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1093\/clinids\/16.1.59","article-title":"Fatal respiratory disease due to Corynebacterium diphtheria: case report and review of guidelines for management, investigation and control","volume":"16","author":"Farizo, K.M.; Strebel, P.M.; Chen, R.T.; Kimbler, A.; Cleary, T.J.; Cochi, S.L.","year":"1993","unstructured":"Farizo KM, Strebel PM, Chen RT, Kimbler A, Cleary TJ, Cochi SL. Fatal respiratory disease due to Corynebacterium diphtheria: case report and review of guidelines for management, investigation and control. Clin Infect Dis 1993; 16: 59-68.","journal-title":"Clin Infect Dis"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1016\/0264-410X(93)90235-P","article-title":"Absence of protective immunity against diphtheria in a large proportion of young adults","volume":"11","author":"Rappouli, R.; Podda, A.; Giovannoni, F.; Nencioni, L.; Peragallo, M.; Francolini, P.","year":"1993","unstructured":"Rappouli R, Podda A, Giovannoni F, Nencioni L, Peragallo M, Francolini P. Absence of protective immunity against diphtheria in a large proportion of young adults. Vaccine 1993; 11: 576-7.","journal-title":"Vaccine"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1136\/jcp.47.4.353","article-title":"Polymerase chain reaction for screening clinical isolates of corynebacteria for the production of diphtheria toxin","volume":"47","author":"Pallen, M.J.; Hay, A.J.; Puckey, L.H.; Efstratiou, A.","year":"1994","unstructured":"Pallen MJ, Hay AJ, Puckey LH, Efstratiou A. Polymerase chain reaction for screening clinical isolates of corynebacteria for the production of diphtheria toxin. J Clin Pathol 1994; 47: 353-6.","journal-title":"J Clin Pathol"},{"key":"ref_7","first-page":"35","article-title":"Detection and characterisation of toxin genes and insertion sequences by PCR and other molecular techniques","author":"Pallen, M.J.","year":"1993","unstructured":"Pallen MJ. Detection and characterisation of toxin genes and insertion sequences by PCR and other molecular techniques. MD Thesis, University of London, 1993; pp 35-48."}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/72\/852\/619\/50220250\/postgradmedj-72-619.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/72\/852\/619\/50220250\/postgradmedj-72-619.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T05:17:42Z","timestamp":1683782262000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/72\/852\/619\/7046704"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,10,1]]},"references-count":7,"journal-issue":{"issue":"852","published-online":{"date-parts":[[1996,10,1]]},"published-print":{"date-parts":[[1996,10,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.72.852.619","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1996,10]]},"published":{"date-parts":[[1996,10,1]]}}}