Faucial Diphtheria

• Causative organism - C. diphtheriae(gram positive bacilli )
• Droplet infection

• Commonly affects children
• Formation of greyish white membrane over tonsil 
• Removal cuases bleeding
• Bull neck appearance :enalrged JDG lymph nodes

• ​​​​​​​Myocarditis, cardiac arrhythmias & acute circulatory failure
• Paralysis of soft palate, diaphragm and ocular muscles
• Airway obstruction

6th edition : Diseases of ENT & HN surgery

PL Dhingra, Shruti Dhingra

Page no 260

• 20,000–40,000 units
  • if diphtheria in less than 48 h
  • or the membrane is confined to tonsils only
• 80,000–120,000 units
  • if >48 h
  • or the membrane is more extensive.

• Benzyl pencillin
• Erythromycin in those sensitive to penicillin