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The diphtheritic form is more difficult to diagnosis on symptoms alone.
(8) Diphtheritic polyneuropathy and cardiomyopathy are caused by a toxic protein secreted by C.
Diphtheritic polyneuropathy is often biphasic that is motor and sensory deficits in the limbs may become prominent only as the cranial nerve deficits have begun to abate.
The preceding history of sore throat in diphtheritic neuropathy.
Recovery of strength and sensation in the limbs is late in diphtheritic polyneuropathy compared to Guillain-Barre syndrome.
We report a case series of diphtheritic polyneuropathy in children in India identified by routine screening for AFP, which was performed to achieve eradication of poliomyelitis in India.
All cases in this series were given a final clinical diagnosis of diphtheritic neuropathy.
Fifteen children with features suggestive of diphtheritic paralysis were identified (6 girls, average age 5.2 years, age range 2.3-14.5 years) in 9 states and union territories of India (Table 1, Appendix, wwwnc.csdc.gov/EID/ article/19/9/13-0117-T1.htm).
(2,5) Three forms are commonly described: a skin (dry) form with cutaneous wart-like lesions on unfeathered skin, a diphtheritic (wet) form in which lesions can be found in the upper gastrointestinal and respiratory tracts, and a systemic form in canaries.
(11) In this report, most of the birds had the cutaneous form of the disease but some diphtheritic forms also occurred (4 of 50).
(17,18) Avian pox (Avipoxvirus species), by contrast, is a viral infection caused by a large, double-stranded DNA virus that typically causes tumor-like swellings on exposed skin or diphtheritic lesions on the mouth, trachea, and esophagus of infected birds.
Both cutaneous and diphtheritic forms of poxvirus were previously reported in a mourning dove (Xenaida macrouva).