Emerging Infectious Diseases (Dec 2000)

Nontoxigenic Corynebacterium diphtheriae: An Emerging Pathogen in England and Wales?

  • Mark Reacher,
  • Mary Ramsay,
  • Joanne White,
  • Aruni De Zoysa,
  • Androulla Efstratiou,
  • Gina Mann,
  • Andrew Mackay,
  • Robert C. George

DOI
https://doi.org/10.3201/eid0606.000614
Journal volume & issue
Vol. 6, no. 6
pp. 640 – 645

Abstract

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Confirmed isolates of nontoxigenic Corynebacterium diphtheriae in England and Wales increased substantially from 1986 to 1994. Ribotyping of 121 isolates confirmed in 1995 showed that 90 were of a single strain isolated exclusively from the throat; none had previously been identified in toxigenic strains from U.K. or non-U.K. residents. The upward trend in nontoxigenic C. diphtheriae probably represented increased ascertainment, although dissemination of a particular strain or clone may have been a factor.

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