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Published on: February 23, 2014
[Two cases of Corynebacterium pseudodiphtheriticum respiratory tract infection]
Yoshitomo Morinaga1, Katsunori Yanagihara, Koichi Yamada
1Department of Laboratory Medicine, Nagasaki University Graduate School of Biomedical Sciences.
Abstract:
Corynebacterium pseudodiphtheriticum, one cause of respiratory tract infection, is rarely considered as a pathogen because it is among normal bacterial flora colonizing the oral cavity. We report two cases of C. pseudodiphtheriticum causing respiratory tract infection--an exacerbation of chronic obstructive pulmonary disease and pneumonia--, both in the presence of underlying respiratory disease. Both required antibiotics after first-line chemotherapy failed. Isolates were susceptible to beta-lactams. Gram-staining of respiratory tract specimens is important in diagnosing this infection and determining appropriate antimicrobial use.
Insights
Corynebacterium pseudodiphtheriticum, a common oral bacterium, can cause serious respiratory infections, particularly in patients with underlying lung disease. Prompt diagnosis via Gram staining and appropriate antibiotic treatment, such as beta-lactams, are crucial for successful outcomes.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Pulmonology
Background:
- Corynebacterium pseudodiphtheriticum is a commensal bacterium of the upper respiratory tract.
- It is infrequently recognized as a pathogen in respiratory tract infections.
Observation:
- Two cases of C. pseudodiphtheriticum-induced respiratory tract infections are presented.
- These included an exacerbation of chronic obstructive pulmonary disease and pneumonia.
- Both patients had pre-existing respiratory conditions.
Findings:
- First-line chemotherapy failed in both cases, necessitating alternative antibiotic treatment.
- Isolates demonstrated susceptibility to beta-lactam antibiotics.
- Gram staining of respiratory specimens proved vital for diagnosis.
Implications:
- C. pseudodiphtheriticum should be considered in the differential diagnosis of respiratory infections, especially in immunocompromised or debilitated patients.
- Accurate Gram staining aids in timely and effective antimicrobial therapy selection.
- Beta-lactams represent a viable treatment option for infections caused by this bacterium.
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Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
