Imported Toxigenic Corynebacterium Diphtheriae in Refugees with Polymicrobial Skin Infections, Germany, 2022

Emerg Infect Dis. 2023 Oct;29(10):2112-2115. doi: 10.3201/eid2910.230285. Epub 2023 Sep 10.

Abstract

During August-December 2022, toxigenic Corynebacterium diphtheriae was isolated from 25 refugees with skin infections and 2 refugees with asymptomatic throat colonization at a refugee reception center in Germany. None had systemic toxin-mediated illness. Of erosive/ulcerative skin infections, 96% were polymicrobial. Erosive/ulcerative wounds in refugees should undergo testing to rule out cutaneous diphtheria.

Keywords: Diphtheria; Germany; bacteria; cutaneous diphtheria; refugee; refugee reception center; skin infection; toxigenic Corynebacterium diphtheria.

MeSH terms

  • Asymptomatic Infections
  • Coinfection*
  • Corynebacterium diphtheriae*
  • Germany / epidemiology
  • Humans
  • Refugees*
  • Skin
  • Skin Diseases, Infectious*