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Diphtheritic membrane: an alternative approach
  1. Sudeep Kumar,
  2. Bala Ramachandran,
  3. Kalaimaran Sadasivam
  1. Paediatric Intensive Care Unit, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Kalaimaran Sadasivam, Paediatric Intensive care unit, Kanchi Kamakoti Childs Trust Hospital, Chennai, TN 600034, India; kalaimarans{at}

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An 11-year-old boy was referred with impending airway compromise and suspected diphtheria. He had stridor, bull-neck and a visible membrane in the throat (figure 1). He was admitted to the Paediatric Intensive Care Unit (PICU) and was electively intubated in theatres with videolaryngoscopy and ear nose throat surgeon cover. Antidiphtheritic serum and intravenous antibiotics (ceftriaxone) were commenced. He was allowed to breathe spontaneously through the nasal endotracheal tube. He did …

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