Diphtheria
Diphtheria · Záškrt (difterie)
What it is
A toxin-making throat bacterium that forms a grey membrane and can choke or poison the heart; vaccination made it rare, and gaps in vaccination bring it back.
Symptoms & signs
- Sore throat and fever
- grey membrane on the tonsils and throat
- 'bull neck' swelling
- noisy breathing
- heart rhythm problems and paralysis later
🚩 Get help if…
- call 112 / 911 now Noisy breathing, struggling to breathe or to swallow
- call 112 / 911 now Grey coating in the throat with a very swollen neck
- call 112 / 911 now Racing or irregular heartbeat, fainting
- see a doctor soon Weakness of the face, eyes or palate weeks after a sore throat
Where it strikes
Medical treatment
- Throat swab and culture
- diphtheria antitoxin urgently
- penicillin or erythromycin
- airway care
- vaccinate contacts; booster every 10 years
Natural & lifestyle
- Stay up to date with vaccination
Emerging & experimental
- Monoclonal antitoxins
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Homeopathic nosodes — no protection not confirmed in trials
- Gargles of salt, honey and lemon — soothing only anecdotal / traditional
- Herbal throat remedies — cannot neutralise the toxin anecdotal / traditional
ICD codes
- ICD-10 A36.9
- ICD-11 1C17.Z Diphtheria, unspecified