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Volume 5, Number 3—June 1999

Dispatch

Emergence of Related Nontoxigenic Corynebacterium diphtheriae Biotype mitis Strains in Western Europe

Guido Funke*, Martin Altwegg*, Lars Frommelt†, and Alexander von Graevenitz*Comments to Author 
Author affiliations: *University of Zurich, Zurich, Switzerland; and; †Endo-Klinik, Hamburg, Germany

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Table

Nontoxigenic Corynebacterium diphtheriae isolates

Isolate no. Date isolateda Place of isolationb Ribotyping patternc
Patients sex, age (yr) Clinical diagnosis/source Other bacteria isolated Underlying conditions
EcoRI PvuII
2012 1990 Paris A C m, 6 Endocarditis/blood culture Skin lesions,scabies
2410 2/1995 Hamburg A B m, 30 Ulcus/lower leg Staphylococcus aureus, Streptococcus pyogenes Prisoner
2689 3/1995 Hamburg A A f, 82 Puncture/hip joint S. epidermidis, Corynebacterium pseudodiphtherit- icum Total hip jointendoprosthesis
1682 9/1995 Hamburg A B m, 45 Wound swab S. aureus, S. pyogenes Homelessness
1935 3/1996 Hamburg A B m, 58 Wound swab S. aureus, S. pyogenes Alcoholism, homelessness
1836 3/1996 Hamburg A B m, 45 Abscess/lower leg S. aureus, S. pyogenes Injecting drug use
2661 3/1996 Hamburg A A m, 35 Arthroscopy aspirate/knee joint Peptostreptococcus prevotii,P. magnus Osteosynthesis, arthrotomy, knee joint after trauma
2658 4/1996 Hamburg A A f, 76 Fistula/hip joint S. aureus Total hip joint endoprosthesis
2674 5/1996 Hamburg A A f, 62 Aspirate/hip joint Streptococcus group C Total hip joint endoprosthesis
2670 7/1996 Hamburg A A f, 81 Aspirate/knee joint Total knee joint endoprosthesis
2667 7/1996 Hamburg A A m, 23 Swab/hip joint Coagulase-negative staphylococci Total hip joint endoprosthesis
2413 11/1996 Hamburg A B m, 36 Ulcus/lower leg S. aureus, Streptococcus group C/G Prisoner
2446 12/1996 Zurich A A f, 38 Wound/upper leg S. aureus, S. pyogenes Injecting drug use
2464 1/1997 Zurich A A m, 39 Ulcera/lower arm Escherichia coli, S. aureus, S. pyogenes Injecting drug use
2473 1/1997 Zurich A A m, 38 Ulcera/leg E. coli, Streptococcus group C, G Injecting drug use
2475 1/1997 Zurich A A m, 31 Ulcus/pretibial Pseudomonas aeruginosa, E. coli, Streptococcus group C, G Injecting drug use
480 5/1997 Bern A A m, 39 Ulcus/upper leg S. aureus, Clostridium perfringens, mixed anaerobic flora Injecting drug use

aMonth/Year
bParis, France; Hamburg, Germany; Zurich, Switzerland; Bern, Switzerland.
cDNA was isolated, digested with either EcoRI or PvuII, electrophoresed, blotted, and probed for DNA. Three distinct ribopatterns emerged, each with eight bands: patterns A, B, and C.

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