Title: Diphtheria for travellers-Risks, Symptoms and Immunization
1Diphtheria for travellers Risks, Symptoms and
Immunization
2What is Diphtheria
Diphtheria is an infection caused by the
bacterium Corynebacterium diphtheriae. Signs and
symptoms may vary from mild to severe. They
usually start two to five days after exposure.
Symptoms often come on fairly gradually beginning
with a sore throat and fever. In severe cases a
grey or white patch develops in the throat.
This can block the airway and create a barking
cough as in croup. The neck may swell in part due
to large lymph nodes. A form of diphtheria that
involves the skin, eyes, or genitals also exists.
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4The Risks for Travelers
Ensure British Vaccination Schedule complete for
all travelers including booster doses as
teenagers. Travelers should be aware of
- Persistence of disease in many regions of the
world to which unvaccinated individuals are
susceptible - Waning immunity from diphtheria vaccine with
increasing age - Individuals with an incomplete primary
vaccination history for diphtheria, irrespective
of region of travel - 10 yearly boosters of vaccine should be given for
travel to epidemic/endemic areas particularly
where individuals will be mixing with the local
population (e.g. health workers, teachers,
volunteers)
5Signs and Symptoms of Diphtheria
- Presentation varies depending on region of upper
respiratory tract affected. - Pseudomembrane characteristic a grey/white
membrane adherent to underlying mucosa resulting
from toxin effects. - Typically presents with fever, malaise and sore
throat pseudomembrane is visible on the tonsils
and may extend to the rest of the pharynx/larynx. - Associated with bull neck appearance enlarged
painful neck lymph nodes and soft tissue oedema.
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safe and healthy travels for you.
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