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Causes of Death in Patients with Diphtheria

Malvina Javakhadze

Department of Infectious Diseases, Tbilisi State Medical Academy of Post-diploma Education, Georgia

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2002 volume 2, Issue 3
pg :
217-220

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On the basis of analyzing the patients who died of diphtheria in the Center of Infection Pathology in 1993-2001 we have studied clinical and functional peculiarities, course and results of diphtheria complications. Reasons causing death during diphtheria were determined. 1) In 92% of death cases miocarditis was developed, in 89% of them it caused death; among them early miocarditis prevailed (62%). 2) Infection-toxic shock was developed in 11% and in all the cases it caused death. 3) Polyneuritis was developed in 32% of the patients and nephrosis in 27%, but none of them died of it. 4) Syndrome of primary croup during this epidemy was not met in our material, but 7,6% had secondary croup. Obstruction of respiratory tract did not cause death in any of the cases.

Keywords:   diphtheria, complications, mortality

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