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Diphtheria Overview: Symptoms, Causes, and Treatment

Diphtheria is a serious bacterial infection that affects the throat and nose, potentially causing breathing issues and heart complications. Learn its symptoms, causes, treatment, and prevention through vaccination.

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Written by Dr. Dhankecha Mayank Dineshbhai

Reviewed by Dr. Shaik Abdul Kalam MD (Physician)

Last updated on 21st Aug, 2025

Diphtheria

Diphtheria is a serious bacterial infection that can affect the nose, throat, and sometimes the skin. Although it is rare in countries with good vaccination programs, it can still be dangerous if not treated promptly. This article will help you understand what diphtheria is, its symptoms, causes, and how it can be treated and prevented.

What is Diphtheria?

Diphtheria is caused by a bacterium called Corynebacterium diphtheriae. This bacteria produces a toxin that can lead to severe complications, including difficulty breathing, heart problems, and even death if left untreated. The infection spreads easily through coughing, sneezing, or close contact with an infected person.

Symptoms of Diphtheria

The symptoms of diphtheria usually appear 2 to 5 days after infection. They can vary depending on which part of the body is affected.

Common Symptoms:

  • Sore throat and hoarseness
  • Thick gray or white coating (pseudomembrane) in the throat or nose
  • Mild fever and chills
  • Swollen glands in the neck (bull neck appearance)
  • Weakness and fatigue

Severe Symptoms (if the toxin spreads):

  • Difficulty breathing or swallowing
  • Heart problems (myocarditis)
  • Nerve damage (leading to paralysis)
  • Kidney failure

If you or someone you know experiences these symptoms, seek medical help immediately.

Causes and Risk Factors

Diphtheria spreads through:

  • Respiratory droplets (coughing or sneezing)
  • Direct contact with an infected person’s sores or skin lesions
  • Touching contaminated objects

Consult Top General Practitioner

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

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Dr. Bhukya Pavan Kalyan, General Physician

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General Physician

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Who is at Risk?

  • Unvaccinated or partially vaccinated individuals
  • People living in crowded or unsanitary conditions
  • Travelers visiting areas where diphtheria is common

How is Diphtheria Diagnosed?

Doctors diagnose diphtheria by:

  • Examining throat swabs (to detect the bacteria)
  • Blood tests (to check for toxins)
  • Throat culture (to confirm the infection)

Early diagnosis is crucial to prevent complications.

Treatment for Diphtheria

Diphtheria is a medical emergency and requires immediate treatment.

1. Antitoxin

  • A special antitoxin is given to neutralize the diphtheria toxin.

2. Antibiotics

  • Antibiotics like penicillin or erythromycin help kill the bacteria.

3. Supportive Care

  • Patients may need hospitalization, especially if they have breathing difficulties.
  • Oxygen therapy or a ventilator may be required in severe cases.

Prevention: Vaccination is Key

The best way to prevent diphtheria is through vaccination. The DTaP (Diphtheria, Tetanus, and Pertussis) vaccine is 
given to children, while the Tdap or Td booster is recommended for adults.

Vaccination Schedule:

  • Children: 5 doses (at 2, 4, 6, and 15-18 months, and 4-6 years)
  • Adults: Booster shot every 10 years

Other Preventive Measures:

  • Practice good hygiene (washing hands frequently).
  • Avoid close contact with infected individuals.
  • Cover your mouth when coughing or sneezing.

When to See a Doctor?

If you or your child experience:

  • Severe sore throat with a grayish throat coating
  • Difficulty breathing
  • Swollen neck glands

Consult a doctor immediately. Early treatment can save lives.

Final Thoughts

Diphtheria is a preventable disease, thanks to vaccines. Staying up-to-date with vaccinations and maintaining good 
hygiene can protect you and your loved ones. If you suspect an infection, do not delay—seek medical help right away.

Need Help?
If you have concerns about diphtheria or need vaccination advice, you can book a consultation with a doctor on Apollo 24|7. Stay safe and stay protected!

Consult Top General Practitioner

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Bhukya Pavan Kalyan, General Physician

Dr. Bhukya Pavan Kalyan

General Physician

5 Years • MBBS DNB Paediatrics

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

650

98 Cashback

Consult Top General Practitioner

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Bhukya Pavan Kalyan, General Physician

Dr. Bhukya Pavan Kalyan

General Physician

5 Years • MBBS DNB Paediatrics

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

650

98 Cashback

Dr. Syed Ismail Ali, General Practitioner

Dr. Syed Ismail Ali

General Practitioner

7 Years • MBBS

Hyderabad

Apollo 24|7 Clinic, Hyderabad

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Dr. Karanam Kondalamma, General Practitioner

Dr. Karanam Kondalamma

General Practitioner

4 Years • MBBS

Hyderabad

KK Clinic, Hyderabad

313

Dr. Madhuri Sai Sreepada, General Practitioner

Dr. Madhuri Sai Sreepada

General Practitioner

9 Years • MBBS

Hyderabad

BRIGHT SMILES MEDICARE & DENTAL CARE, Hyderabad

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Consult Top General Practitioner

Dr Syed Mateen Pasha, General Physician

Dr Syed Mateen Pasha

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Bhukya Pavan Kalyan, General Physician

Dr. Bhukya Pavan Kalyan

General Physician

5 Years • MBBS DNB Paediatrics

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

650

98 Cashback

Dr. Syed Ismail Ali, General Practitioner

Dr. Syed Ismail Ali

General Practitioner

7 Years • MBBS

Hyderabad

Apollo 24|7 Clinic, Hyderabad

499

Dr. Karanam Kondalamma, General Practitioner

Dr. Karanam Kondalamma

General Practitioner

4 Years • MBBS

Hyderabad

KK Clinic, Hyderabad

313

Dr. Madhuri Sai Sreepada, General Practitioner

Dr. Madhuri Sai Sreepada

General Practitioner

9 Years • MBBS

Hyderabad

BRIGHT SMILES MEDICARE & DENTAL CARE, Hyderabad

350

300