Salih M A, Suliman G I, Hassan H S
Ann Trop Paediatr. 1981 Jun;1(2):97-101. doi: 10.1080/02724936.1981.11748069.
Twenty-nine cases of complicated diphtheria infection occurring during an epidemic in Khartoum are reviewed. The organism was a Corynebacterium diphtheriae subsp. gravis with an unusual property of fermenting sucrose. Eighteen patients were detected during prospective follow-up, where as 11 presented initially with a complication. Complications were mostly seen among pre-school children (65.5%). A routine immunization course had been completed in only two of the patients. Neurological complications were the commonest, lasting for more than two weeks, and five of the six deaths were due to cardiovascular complications.
本文回顾了喀土穆疫情期间发生的29例复杂性白喉感染病例。病原体为重型白喉棒状杆菌亚种，具有发酵蔗糖的特殊特性。18例患者是在前瞻性随访中发现的，另外11例最初表现为并发症。并发症大多发生在学龄前儿童中（65.5%）。只有两名患者完成了常规免疫接种程序。神经并发症最为常见，持续时间超过两周，六例死亡中有五例是由心血管并发症导致的。
