Gubler J G, Wüst J, Krech T, Hany A
Medizinische Klinik, Kantonsspital Winterthur.
Schweiz Med Wochenschr. 1990 Dec 1;120(48):1812-6.
In a 63-year-old patient presenting with signs of classical diphtheria including membranous pharyngotracheobronchitis and myocarditis, Corynebacterium ulcerans was isolated in pure culture from the membranes. The strain produced a toxin specific for C. ulcerans but no diphtheria toxin. The patient was discharged after a complicated hospital course including respiratory and cardiac failure. Besides Corynebacterium diphtheriae, which has very rarely been isolated in Switzerland in recent years, Corynebacterium ulcerans should be considered as a cause of classical diphtheria.
在一名63岁表现出典型白喉症状（包括膜性咽喉气管支气管炎和心肌炎）的患者中，从膜中分离出了溃疡棒状杆菌的纯培养物。该菌株产生了一种对溃疡棒状杆菌特异的毒素，但没有白喉毒素。患者在经历了包括呼吸和心力衰竭在内的复杂病程后出院。除了近年来在瑞士极少分离出的白喉棒状杆菌外，溃疡棒状杆菌也应被视为典型白喉的病因。
