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Genomic characterization of cocirculating and non-diphtheritic species among forcibly displaced Myanmar nationals, 2017-2019.
Microb Genom
September 2023
Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Article Synopsis
- Respiratory diphtheria is a severe infection primarily spread through respiratory droplets, and a significant outbreak occurred among Myanmar nationals in Bangladesh from 2017 to 2019.
- Whole-genome sequencing (WGS) was used to analyze isolates from 53 diphtheria cases, revealing that they were toxigenic biovar mitis strains with resistance to penicillin and grouped into four phylogenetic clusters across refugee camps.
- The study highlighted high levels of antibiotic resistance in co-circulating non-diphtheritic species, underscoring WGS's effectiveness in tracking microbial relationships and resistance factors during diphtheria outbreaks.
A case report of a patient with tonsillitis and peritonsillar abscess, who subsequently developed fatal myocarditis, is presented. The clinical course and pathological findings are outlined. The rare association of tonsillitis and pharyngitis with non-rheumatic, non-diphtheritic, non-fatal myocarditis was recognized and reported in the pre and early antibiotic era.
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