Name
#62 Re-emerging Infections in Wound Care: Cutaneous Diphtheria in Civilian and Military Contexts
Content Presented On Behalf Of:
International Delegates
Session Type
Poster
Date
Tuesday, March 3, 2026
Start Time
5:00 PM
End Time
7:00 PM
Location
Prince Georges Expo Hall E
Focus Areas/Topics
Clinical Care, Trending/Hot Topics or Other not listed
Learning Outcomes
Following this presentation, the participant will be able to:
1. Recognize the clinical presentation and diagnostic pitfalls of cutaneous diphtheria, including its frequent masking by co-infections and differentiate it from common bacterial pyodermas
2. Identify epidemiological risk factors such as migration, international travel/ military deployments, and insufficient vaccination contributing to the re-emergence of Corynebacterium diphtheriae.
3. Apply evidence-based diagnostic, therapeutic, and preventive measures to improve wound care and infection control during deployments and within military health services.
Session Currently Live
Description
Cutaneous diphtheria, caused by toxin-producing Corynebacterium diphtheriae, has re-emerged as a clinically relevant infection in wound management. Global travel, tropical deployments, and migration have contributed to its reappearance in Europe and highlight its importance for both civilian healthcare and military medical services. We report two toxin-positive cases demonstrating the diverse epidemiological backgrounds of cutaneous diphtheria. The first case involved a 14-year-old migrant from Afghanistan who presented with multiple ulcerations of the extremities in the context of superinfected scabies. Microbiological testing revealed a toxin-producing C. diphtheriae strain along with Streptococcus pyogenes and methicillin-resistant Staphylococcus aureus (MRSA). The second case involves a 63-year-old male patient who developed ulcerative lesions on both lower legs and the left gluteal region after a six-week stay in the Philippines. Cultures confirmed toxin-positive C. diphtheriae with co-infection by S. aureus and S. pyogenes. The patient showed rapid improvement after antibiotic switch to clindamycin and topical antiseptic wound therapy. These cases underscore the ongoing risk of C. diphtheriae infection through migration and international travel. In the context of military medicine, such infections are of particular relevance for wound care in deployment and field settings, where tropical exposure, contaminated injuries, and limited laboratory access can complicate diagnosis and containment. Preventive measures, including up-to-date vaccination, early microbiological testing with toxin detection, and strict wound hygiene remain essential to mitigate operational and public health risks.