Penicillin tolerance amongst non-toxigenic Corynebacterium diphtheriae isolated from cases of pharyngitis

J Antimicrob Chemother. 2002 Jul;50(1):125-8. doi: 10.1093/jac/dkf107.

Abstract

Twenty-four strains of non-toxigenic Corynebacterium diphtheriae biotype gravis from the throats of patients with pharyngitis/tonsillitis were assayed for susceptibility to penicillin and erythromycin using determination of MIC, MBC and time-kill curves. There were no differences between the MICs of penicillin for susceptible and tolerant strains. All but one strain had penicillin MBCs > or = 2 mg/L. Seventy-one per cent (17/24) of the strains were tolerant to penicillin. In contrast, all strains were susceptible to erythromycin (MIC < or = 0.016 mg/L). These aspects should be considered when choosing the therapy for treating non-toxigenic C. diphtheriae pharyngitis/tonsillitis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents / pharmacology*
  • Anti-Bacterial Agents / therapeutic use
  • Corynebacterium diphtheriae / drug effects*
  • Corynebacterium diphtheriae / isolation & purification
  • Erythromycin / pharmacology
  • Erythromycin / therapeutic use
  • Humans
  • Microbial Sensitivity Tests
  • Penicillin Resistance*
  • Penicillins / pharmacology*
  • Penicillins / therapeutic use
  • Pharyngitis / drug therapy
  • Pharyngitis / microbiology*
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Penicillins
  • Erythromycin