Diphtheria Toxin-Producing Corynebacterium ramonii in Inner-City Population, Vancouver, British Columbia, Canada, 2019-2023

Emerg Infect Dis. 2024 Jan 7;31(2). doi: 10.3201/eid3102.241472. Online ahead of print.

Abstract

We conducted patient chart reviews and whole-genome sequencing of wound specimens containing presumptive Corynebacterium ulcerans from Vancouver, British Columbia, Canada, during July 2019-July 2023. Sequencing confirmed 8/14 isolates were C. ramonii and identified 2 distinct clusters. Molecular methods should be used to clinically differentiate potential toxin-producing Corynebacterium spp.

Keywords: British Columbia; Canada; Corynebacterium diphtheriae; Corynebacterium ramonii; Corynebacterium ulcerans; MALDI-TOF MS; Vancouver; bacteria; cutaneous diphtheria; diphtheria toxin; matrix-assisted laser desorption/ionization time-of-flight mass spectrometry; next-generation sequencing; zoonoses.