Two cases of imported respiratory diphtheria in Edinburgh, Scotland, October 2019

Lucy Li; Daniella Ross; Katherine Hill; Sarah Clifford; Louise Wellington; Colin Sumpter; Naomi J. Gadsby; Jennifer Crane; Karen F. MacSween; Katie L. Hopkins; Norman Fry; Oliver Koch; Janet Stevenson

doi:10.1017/S0950268820001028

Two cases of imported respiratory diphtheria in Edinburgh, Scotland, October 2019

Lucy Li^*, Daniella Ross, Katherine Hill, Sarah Clifford, Louise Wellington, Colin Sumpter, Naomi J. Gadsby, Jennifer Crane, Karen F. MacSween, Katie L. Hopkins, Norman Fry, Oliver Koch, Janet Stevenson

^*Corresponding author for this work

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Abstract

We report two cases of respiratory toxigenic Corynebacterium diphtheriae infection in fully vaccinated UK born adults following travel to Tunisia in October 2019. Both patients were successfully treated with antibiotics and neither received diphtheria antitoxin. Contact tracing was performed following risk assessment but no additional cases were identified. This report highlights the importance of maintaining a high index of suspicion for re-emerging infections in patients with a history of travel to high-risk areas outside Europe .

Original language	English
Journal	Epidemiology and Infection
Volume	148
DOIs	https://doi.org/10.1017/S0950268820001028
Publication status	Published - 15 May 2020

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Funding Information: No Funding Information

Open Access: This is an OpenAccess article, distributed under the terms ofthe Creative Commons Attribution licence(http://creativecommons.org/licenses/by/4.0/),which permits unrestricted re-use,distribution, and reproduction in any medium,provided the original work is properly cited.

Publisher Copyright: © The Author(s), 2020. Published byCambridge University Press.

Citation: Li, L., Ross, D., Hill, K., Clifford, S., Wellington, L., Sumpter, C., . . . Stevenson, J. (2020). Two cases of imported respiratory diphtheria in Edinburgh, Scotland, October 2019. Epidemiology and Infection, 148, E143.

DOI: 10.1017/S0950268820001028

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Li2020TwoCasesOfImportedRespiratoryDiphtheriaInEdinburghScotlandOctober2019EpidemiolInfectFinal published version, 338 KBLicence: CC BY

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title = "Two cases of imported respiratory diphtheria in Edinburgh, Scotland, October 2019",

abstract = "We report two cases of respiratory toxigenic Corynebacterium diphtheriae infection in fully vaccinated UK born adults following travel to Tunisia in October 2019. Both patients were successfully treated with antibiotics and neither received diphtheria antitoxin. Contact tracing was performed following risk assessment but no additional cases were identified. This report highlights the importance of maintaining a high index of suspicion for re-emerging infections in patients with a history of travel to high-risk areas outside Europe .",

author = "Lucy Li and Daniella Ross and Katherine Hill and Sarah Clifford and Louise Wellington and Colin Sumpter and Gadsby, {Naomi J.} and Jennifer Crane and MacSween, {Karen F.} and Hopkins, {Katie L.} and Norman Fry and Oliver Koch and Janet Stevenson",

note = "Funding Information: No Funding Information Open Access: This is an OpenAccess article, distributed under the terms ofthe Creative Commons Attribution licence(http://creativecommons.org/licenses/by/4.0/),which permits unrestricted re-use,distribution, and reproduction in any medium,provided the original work is properly cited. Publisher Copyright: {\textcopyright} The Author(s), 2020. Published byCambridge University Press. Citation: Li, L., Ross, D., Hill, K., Clifford, S., Wellington, L., Sumpter, C., . . . Stevenson, J. (2020). Two cases of imported respiratory diphtheria in Edinburgh, Scotland, October 2019. Epidemiology and Infection, 148, E143. DOI: 10.1017/S0950268820001028 ",

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AU - Li, Lucy

AU - Ross, Daniella

AU - Hill, Katherine

AU - Clifford, Sarah

AU - Wellington, Louise

AU - Sumpter, Colin

AU - Gadsby, Naomi J.

AU - Crane, Jennifer

AU - MacSween, Karen F.

AU - Hopkins, Katie L.

AU - Fry, Norman

AU - Koch, Oliver

AU - Stevenson, Janet

N1 - Funding Information: No Funding Information Open Access: This is an OpenAccess article, distributed under the terms ofthe Creative Commons Attribution licence(http://creativecommons.org/licenses/by/4.0/),which permits unrestricted re-use,distribution, and reproduction in any medium,provided the original work is properly cited. Publisher Copyright: © The Author(s), 2020. Published byCambridge University Press. Citation: Li, L., Ross, D., Hill, K., Clifford, S., Wellington, L., Sumpter, C., . . . Stevenson, J. (2020). Two cases of imported respiratory diphtheria in Edinburgh, Scotland, October 2019. Epidemiology and Infection, 148, E143. DOI: 10.1017/S0950268820001028

PY - 2020/5/15

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N2 - We report two cases of respiratory toxigenic Corynebacterium diphtheriae infection in fully vaccinated UK born adults following travel to Tunisia in October 2019. Both patients were successfully treated with antibiotics and neither received diphtheria antitoxin. Contact tracing was performed following risk assessment but no additional cases were identified. This report highlights the importance of maintaining a high index of suspicion for re-emerging infections in patients with a history of travel to high-risk areas outside Europe .

AB - We report two cases of respiratory toxigenic Corynebacterium diphtheriae infection in fully vaccinated UK born adults following travel to Tunisia in October 2019. Both patients were successfully treated with antibiotics and neither received diphtheria antitoxin. Contact tracing was performed following risk assessment but no additional cases were identified. This report highlights the importance of maintaining a high index of suspicion for re-emerging infections in patients with a history of travel to high-risk areas outside Europe .

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VL - 148

JO - Epidemiology and Infection

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ER -

Two cases of imported respiratory diphtheria in Edinburgh, Scotland, October 2019

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