A fatal case of necrotizing sinusitis due to toxigenic Corynebacterium ulcerans |
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Authors: | Wellinghausen Nele Sing Andreas Kern Winfried V Perner Sven Marre Reinhard Rentschler Jochen |
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Institution: | Department of Medical Microbiology and Hygiene, University of Ulm, Germany. nele.wellinghausen@medizin.uni-ulm.de |
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Abstract: | A 77-year-old farmer developed cough with sputum production, fever, bloody nasal discharge and a mass in his right maxillary sinus leading to necrotic ulceration of the sinus. Corynebacterium ulcerans, carrying the beta-phage for the diphtheria toxin and secreting the toxin, was detected microscopically and by culture from the sinusoidal and ulcer discharge. Despite immediate antimicrobial chemotherapy the patient died of pulmonary failure associated with the production of large amounts of very viscous sputum. Identification of the causative agent, pathophysiological aspects and risk factors of this unusal infection are discussed. |
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Keywords: | Corynebacterium ulcerans diphtheria toxin necrotizing sinusitis pulmonary failure 16S rRNA gene sequencing |
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