Diphtheria
A serious bacterial infection of the throat that can block breathing and damage the heart. It's prevented by vaccination.
Quick Summary
Sore throat, fever, a thick grey coating in the throat, swollen neck ('bull neck') and difficulty breathing.
Emergency hospital treatment with diphtheria antitoxin and antibiotics.
Not being vaccinated or incomplete vaccination.
Overview
Diphtheria is caused by Corynebacterium diphtheriae, which produces a toxin. It still occurs in India among unvaccinated children.
Vaccination (DTP) protects, and boosters are needed.
Symptoms
Sore throat
And fever.
Grey throat coating
A thick membrane.
Swollen neck
Bull neck.
Breathing difficulty
Emergency.
Causes & Risk Factors
Biological Causes
Infection with toxin-producing Corynebacterium diphtheriae.
Key Risk Factors
- Not vaccinated Main risk.
- Crowding Close contact.
- Age Children.
Management & Treatment
01. Antitoxin
Neutralises the toxin.
02. Antibiotics
Kill the bacteria.
03. Vaccination
Of patient and contacts.
Frequently Asked Questions
Is diphtheria still around?
How is it prevented?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Diphtheria(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Diphtheria(opens in a new tab) · NHS