Respiratory diphtheria in an asylum seeker from Afghanistan arriving to Finland via Sweden, December 2015

Euro Surveill. 2016;21(2). doi: 10.2807/1560-7917.ES.2016.21.2.30105.

Abstract

In December 2015, an asylum seeker originating from Afghanistan was diagnosed with respiratory diphtheria in Finland. He arrived in Finland from Sweden where he had already been clinically suspected and tested for diphtheria. Corynebacterium diphtheriae was confirmed in Sweden and shown to be genotypically and phenotypically toxigenic. The event highlights the importance of early case detection, rapid communication within the country and internationally as well as preparedness plans of diphtheria antitoxin availability.

Keywords: Corynebacterium diphtheriae; Finland; Sweden; bacterial infections; clinic; diphtheria; epidemiology; laboratory; travel; vaccines and immunisation.

Publication types

  • Case Reports

MeSH terms

  • Administration, Intravenous
  • Administration, Oral
  • Adolescent
  • Afghanistan
  • Anti-Bacterial Agents / therapeutic use
  • Cefuroxime / therapeutic use
  • Corynebacterium Infections / diagnosis*
  • Corynebacterium Infections / drug therapy
  • Corynebacterium diphtheriae / genetics
  • Corynebacterium diphtheriae / isolation & purification*
  • Diphtheria / diagnosis*
  • Diphtheria Antitoxin / genetics
  • Finland
  • Humans
  • Male
  • Polymerase Chain Reaction
  • Refugees*
  • Roxithromycin / therapeutic use
  • Sweden
  • Travel
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Diphtheria Antitoxin
  • Roxithromycin
  • Cefuroxime