Year: 2024 | Month: January | Volume: 11 | Issue: 1 | Pages: 331-337
DOI: https://doi.org/10.52403/ijrr.20240136
Diphtheria Tonsil with Bullneck and Allergy to Anti-Diphtheria Serum
Rahmat Syawqi1, Rinang Mariko2
1Department of Child Health, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
2Tropical Infections and Disease Subdivision, Department of Child Health, Faculty of Medicine, Universitas Andalas, Padang, Indonesia
Corresponding Author: Rahmat Syawqi
ABSTRACT
Diphtheria is an acute, highly contagious, vaccine-preventable disease that mainly affects children. Anti-diphtheria serum (ADS) should be administered as soon as a case is declared a probable case based on clinical diagnosis without waiting for laboratory diagnosis. This case report aims to further explore the diagnosis of diphtheria and the management of allergic anti-diphtheria serum given to children. In this case report we discuss a 14-year-old male patient who was diagnosed with diphtheria of the tonsils with bullneck with the main complaints of fever, painful swallowing, and pseudomembranes on the left and right tonsils of greyish-white colour, difficult to remove and diffuse swelling of the neck. Patient’s lab work showed leucocytosis and gram-stained morphology suitable for Corynebacterium diphteriae which then followed by administering antibiotics and ADS. Electrocardiography was performed periodically to observe cardiac complication. Soon after ADS was administered, the child complained of coughing and itching of the body and limbs, and extensive urticaria was found on the body and extremities. Anti-Diphtheria Serum administration was then continued with desentisation technique (besredka) until the complete ADS dose was given and there were no complaints in the patient. The child was treated for 14 days and then controlled at the outpatient clinic.
Keywords: diphtheria; allergy; anti diphtheria serum; bullneck
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