Both authors contributed equally to this paper.
Two Cases of Cutaneous Diphtheria Associated with Occupational Pig Contact in Germany
Article first published online: 28 DEC 2012
© 2012 Blackwell Verlag GmbH
Zoonoses and Public Health
Volume 60, Issue 8, pages 539–542, December 2013
How to Cite
Berger, A., Boschert, V., Konrad, R., Schmidt-Wieland, T., Hörmansdorfer, S., Eddicks, M. and Sing, A. (2013), Two Cases of Cutaneous Diphtheria Associated with Occupational Pig Contact in Germany. Zoonoses and Public Health, 60: 539–542. doi: 10.1111/zph.12031
- Issue published online: 23 NOV 2013
- Article first published online: 28 DEC 2012
- Manuscript Received: 11 SEP 2012
- Bavarian State Ministry of the Environment and Public Health
- German Federal Ministry of Health via the Robert Koch-Institute and its National Reference Laboratories Network
- Corynebacterium ulcerans ;
- outbreak investigation
In 2010, two independent cases of cutaneous diphtheria caused by toxigenic C. ulcerans were identified in Germany. Both patients had intense occupational contact with pigs. Diagnostic work-up comprising biochemical differentiation, rpoB sequencing, matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF) analysis, real-time tox PCR and Elek test as well as public health measures including an intensified source tracing involving 83 asymptomatic pigs of an associated pig farm are presented.