Butenandt O, Weiss M
Dr. von Haunersches Kinderspital, Universität München.
Fortschr Med. 1996 Aug 30;114(24):281-3.
Diphtheria is one of those diseases that the rigorous application of vaccination has rendered very rare in Western countries. However, as a result of being re-introduced from Eastern Europe, it may re-establish itself in the West. The incubation period is two to five days, and in the unprotected, infection may take place via a carrier who himself is not ill. The most feared form is the laryngeal form (croup) and the exotoxin-induced complications: myocarditis with arrhythmias and paresis affecting the muscles of the palate, throat and respiratory system. Once it is clinically suspected, antibiotic treatment and antitoxin therapy should be initiated without delay.
白喉是一种通过严格接种疫苗在西方国家已极为罕见的疾病。然而，由于从东欧再次传入，它可能会在西方重新出现。潜伏期为2至5天，在未接种疫苗的人群中，感染可能通过自身未患病的携带者发生。最可怕的形式是喉白喉（哮吼）以及外毒素引起的并发症：伴有心律失常的心肌炎和影响腭、咽喉及呼吸系统肌肉的麻痹。一旦临床怀疑该病，应立即开始抗生素治疗和抗毒素治疗。
