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LETTER TO EDITOR
Year : 2019  |  Volume : 14  |  Issue : 3  |  Page : 177
 

Diphtheritic polyneuropathy


1 Medical Center, Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Department of Tropical Medicine, Hainan Medical University, Haiko, China; Department of Community Medicine, Dr. D. Y. Patil University, Pune, Maharashtra, India; Department of Biological Science, Joseph Ayo Babalola University, Ilesa, Osun State, Nigeria; Departmnet of Medical Science, Faculty of Medicine, University of Niš, Niš, Serbia

Date of Submission10-Sep-2018
Date of Decision04-Aug-2019
Date of Acceptance12-Aug-2019
Date of Web Publication27-Sep-2019

Correspondence Address:
Dr. Beuy Joob
Medical Center, Sanitation 1 Medical Academic Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpn.JPN_136_18

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How to cite this article:
Joob B, Wiwanitkit V. Diphtheritic polyneuropathy. J Pediatr Neurosci 2019;14:177

How to cite this URL:
Joob B, Wiwanitkit V. Diphtheritic polyneuropathy. J Pediatr Neurosci [serial online] 2019 [cited 2019 Oct 23];14:177. Available from: http://www.pediatricneurosciences.com/text.asp?2019/14/3/177/267980




Dear Editor,

The report on “prospective study of diphtheria for neurological complications” is very interesting.[1] Prasad and Rai reported 28 cases and they noted complete recovery in all the cases.[1] They concluded that “pediatricians/neurophysicians should have a high index of suspicion to recognize diphtheritic polyneuropathy.[1]” Indeed, the neurological complication is not uncommon in diphtheria. In a report, 10% of the cases presented had the neurological complication.[2] We would like to share idea and experience on this issue. In our country, Thailand, there are sporadic outbreaks of diphtheria. In a recent outbreak in a province in Thailand, no neurological complication was reported but the common complication observed was cardiac complication.[3] Nevertheless, there is also an interesting report from our setting on deadly neurological complication due to diphtheritic subacute infective endocarditis.[4] In that case, the patient developed convulsion, resulting in brain death.[4] This implies the need for close observation on the complications, either neurological complication or not, in the patients with diphtheria. The neurological complication might be primary or secondary, and the complication might be finally recovered, as reported by Prasad and Rai,[1] or might result in fatality.

[TAG:2][/TAG:2]

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Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Prasad PL, Rai PL. Prospective study of diphtheria for neurological complications. J Pediatr Neurosci 2018;13:313-6.  Back to cited text no. 1
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2.
Jain A, Samdani S, Meena V, Sharma MP. Diphtheria: it is still prevalent!!! Int J Pediatr Otorhinolaryngol 2016;86:68-71.  Back to cited text no. 2
    
3.
Pantukosit P, Arpornsuwan M, Sookananta K. A diphtheria outbreak in Buri Ram, Thailand. Southeast Asian J Trop Med Public Health 2008;39:690-6.  Back to cited text no. 3
    
4.
Lolekha R, Supradish P, Kirawittaya T, Srimaharaja S, Chotpitayasunondh T. Subacute infective endocarditis caused by Corynebacterium diphtheriae: a case report. J Med Assoc Thai 2003;86:S696-700.  Back to cited text no. 4
    




 

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