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<p>We present a case report of an 8-year-old African origin, Italian born girl, fully immunized for Diphtheria, with multiple ulcers caused by <i>Corynebacterium diphtheria</i>. The clinical event was preceded by a recent trip to Burkina Faso in a rural area. The atypical presentation with ulcers spread to the entire body and particularly to one leg, led to a bacterial swab, from whose culture the pathogen emerged. The girl was initially empirically treated with amoxicillin/clavulanate and then azithromycin. Cutaneous forms are the most common of all forms and have a relevant spreading role. This case is of particular concern in the context of a rising number of cases in Europe, and it’s peculiar since it doesn’t regard immigrants and refugees, whereas it regards a fully immunized child who traveled from an endemical country.</p>

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Cutaneous diphtheria in a child returning from visiting friends & relatives in Burkina Faso: a case report

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  • 发表日期：

    2025年9月25日

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  • G. Pagani,
  • M. Ticozzelli,
  • F. Bassani,
  • S. Sciarrabba,
  • R. Agistri,
  • L. Pogliani,
  • B. Osnaghi,
  • C. Pavia,
  • L. Vismara,
  • S. Rusconi

摘要

We present a case report of an 8-year-old African origin, Italian born girl, fully immunized for Diphtheria, with multiple ulcers caused by Corynebacterium diphtheria. The clinical event was preceded by a recent trip to Burkina Faso in a rural area. The atypical presentation with ulcers spread to the entire body and particularly to one leg, led to a bacterial swab, from whose culture the pathogen emerged. The girl was initially empirically treated with amoxicillin/clavulanate and then azithromycin. Cutaneous forms are the most common of all forms and have a relevant spreading role. This case is of particular concern in the context of a rising number of cases in Europe, and it’s peculiar since it doesn’t regard immigrants and refugees, whereas it regards a fully immunized child who traveled from an endemical country.