155.4 📌 章末速蚘

  • C. diphtheriae: gram + rod, club, metachromatic granules
  • Exotoxin (β-phage) → ADP-ribosylates EF-2
  • Pseudomembrane + Bull neck + Myocarditis + Polyneuritis
  • Treatment: DAT (早) + erythromycin/PCN × 14d
  • Vaccine: DTaP/Tdap, Td booster q10y
  • 2022-2024 Outbreak: Ukraine, refugee — vaccination gap
  • JK = C. jeikeium: MDR hospital, vanco
  • C. minutissimum + erythrasma: coral-red Wood’s lamp, erythromycin