2008
DOI: 10.1590/s0074-02762008000400014
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First detection of Corynebacterium ulcerans producing a diphtheria-like toxin in a case of human with pulmonary infection in the Rio de Janeiro metropolitan area, Brazil

Abstract: The frequency and severity of human infections associated with Corynebacterium ulcerans appear to be increasing in different countries. Here, we describe the first C. ulcerans strain producing a diphtheria-like toxin isolated from an elderly woman with a fatal pulmonary infection and a history of leg skin ulcers in the Rio de Janeiro metropolitan area.

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Cited by 45 publications
(31 citation statements)
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“…The virulence factor in diphtheria is an exotoxin that targets host protein synthesis (125). Another important Corynebacterium pathogen is C. ulcerans, which is increasingly acknowledged as an emerging pathogen in various countries; infections with this species can mimic diphtheria because it harbors lysogenic-␤-corynephages that carry the the diphtheria toxin (DT) gene, which is responsible for most of the systemic symptoms of diphtheria (126). C. ulcerans also induces clinical symptoms in the lower respiratory tract, including pneumonia (127) and pulmonary granulomatous nodules (128).…”
Section: Figmentioning
confidence: 99%
“…The virulence factor in diphtheria is an exotoxin that targets host protein synthesis (125). Another important Corynebacterium pathogen is C. ulcerans, which is increasingly acknowledged as an emerging pathogen in various countries; infections with this species can mimic diphtheria because it harbors lysogenic-␤-corynephages that carry the the diphtheria toxin (DT) gene, which is responsible for most of the systemic symptoms of diphtheria (126). C. ulcerans also induces clinical symptoms in the lower respiratory tract, including pneumonia (127) and pulmonary granulomatous nodules (128).…”
Section: Figmentioning
confidence: 99%
“…DNase-positive results were mainly observed for C. ulcerans but not Corynebacterium pseudotuberculosis strains (Mattos-Guaraldi et al 2008a, Pimenta et al 2008). …”
Section: Ulcerans Screening Testsmentioning
confidence: 94%
“…The suspect bacterial isolate was identified as C. ulcerans by conventional biochemical assays and the semiautomated APICoryne System (BioMérrieux, Lyon, France) (Efstratiou and George 1999, Funke and Bernard 2007, Mattos-Guaraldi et al 2008a). …”
Section: Ulcerans Phenotypic Characterizationmentioning
confidence: 99%
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