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Classification
Pathogenesis
Sensitivity
Genetics
See also
References
External links
Classification
Four subspecies are recognized C. d. mitis, C. d. intermedius, C. d. gravis, and
C. d. belfanti. The four subspecies differ slightly in their colonial morpholog
y and biochemical properties, such as the ability to metabolize certain nutrient
s, but all may be toxigenic (and therefore cause diphtheria) or not toxigenic. C
. diphtheriae produces diphtheria toxin which alters protein function in the hos
t by inactivating the elongation factor EF-2. This causes pharyngitis and 'pseud
omembrane' in the throat. The diphtheria toxin gene is encoded by a bacteriophag
e found in toxigenic strains, integrated into the bacterial chromosome.
To accurately identify C. diphtheriae, a Gram stain is performed to show Gram-po
sitive, highly pleomorphic organisms with no particular arrangement. Special sta
ins like Alberts's stain and Ponder's stain are used to demonstrate the metachro
matic granules formed in the polar regions. The granules are called as polar gra
nules, Babes Ernst granules, volutin, etc. An enrichment medium, such as Lffler's
medium, is used to preferentially grow C. diphtheriae. After that, a differenti
al plate known as tellurite agar, allows all Corynebacteria (including C. diphth
eriae) to reduce tellurite to metallic tellurium. The tellurite reduction is col
orimetrically indicated by brown colonies for most Cornyebacteria species or by
a black halo around the C. diphtheriae colonies.
A low concentration of iron is required in the medium for toxin production. At h
igh iron concentrations, iron molecules bind to an aporepressor on the beta bact
eriophage, which carries the Tox gene. When bound to iron, the aporepressor shut
s down toxin production.[1] Elek's test for toxogenicity is used to determine wh
ether the organism is able to produce the diphtheria toxin.
Pathogenesis
In areas where diphtheria is endemic, C. diphtheriae in the nasopharyngeal passa
geways is common. Toxigenic strains in susceptible individuals can cause disease
External links
CoryneRegNet Database of Corynebacterial Transcription Factors and Regulatory
Networks
Corynebacterium diphtheriae genome