Cutaneous Diphtheria in France : Observational, Retrospective Study of Patient Characteristics

NCT ID: NCT05798247

Last Updated: 2025-07-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

63 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-04-03

Study Completion Date

2023-08-10

Brief Summary

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Toxigenic cutaneous diphtheria is a notifiable disease that is re-emerging in the world and particularly in France. A better description of the epidemiological characteristics, as well as a refinement of the clinical characteristics of patients with cutaneous diphtheria, are essential to better understand this pathology, which has important public health issues and whose diagnosis absence can have catastrophic consequences for the patient and their contacts. Microbiological data (species identification, toxigenicity or not, resistance profile...) will be transmitted by the national reference center for corynebacteria of the diphtheriae complex and then caregivers who have managed the corresponding patients with cutaneous diphtheria will be contacted.

Detailed Description

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Conditions

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Corynebacterium Diphtheriae Infection

Study Design

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Observational Model Type

OTHER

Study Time Perspective

RETROSPECTIVE

Study Groups

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Patients with cutaneous diphteria

The study group consists of all the patients suffering from cutaneous diphtheria in metropolitan France and for which microbiological data were registered by the National Reference Center fo corynebacteria of the diphteriae complex between 2018 and 2022.

Characteristics description

Intervention Type OTHER

Caregivers who follow the patients of the study group will be contacted to collect these patients clinical and epidemiological characteristics

Interventions

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Characteristics description

Caregivers who follow the patients of the study group will be contacted to collect these patients clinical and epidemiological characteristics

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Culture or PCR positive skin samples for corynebacteria diphtheria, ulcerans, pseudotuberculosis, belfantii or rouxii
* Patient living in metropolitan France

Exclusion Criteria

\- Patient opposition
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre d'Epidémiologie et de Santé Publique des Armées

UNKNOWN

Sponsor Role collaborator

Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fabien DUTASTA, MD

Role: STUDY_DIRECTOR

SSA

Locations

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Institut Hospitalo-Universitaire de Marseille

Marseille, Bouches-du-Rhône, France

Site Status

CHU de Dijon

Dijon, Bourgogne-Franche-Comté, France

Site Status

CHU de Caen

Caen, Calvados, France

Site Status

Centre Hospitalier de Brive

Brive-la-Gaillarde, Corrèze, France

Site Status

Centre Hospitalier de Guingamp

Pabu, Côtes d'Armor, France

Site Status

Centre Hospitalier Sud Francilien

Corbeil-Essonnes, Essonne, France

Site Status

CHU Bordeaux

Bordeaux, Gironde, France

Site Status

Hôpital Louis Pasteur (HCC)

Colmar, Haut-Rhin, France

Site Status

Centre Hospitalier Alpes-Leman CHAL

Contamine-sur-Arve, Haute-Savoie, France

Site Status

Centre Hospitalier de Briançon

Briançon, Hautes-Alpes, France

Site Status

Centre Hospitalier de Lourdes

Lourdes, Hautes-Pyrénées, France

Site Status

Hôpital Ambroise Paré (AP-HP)

Boulogne-Billancourt, Hauts-de-Seine, France

Site Status

Hôpital Américain de Paris

Neuilly-sur-Seine, Hauts-de-Seine, France

Site Status

CHU de Montpellier

Montpellier, Hérault, France

Site Status

CHRU de Tours

Chambray-lès-Tours, Indre-et-Loire, France

Site Status

Groupement Hospitalier Nord Dauphiné

Bourgoin, Isère, France

Site Status

CHU de Nantes

Nantes, Loire-Atlantique, France

Site Status

Centre Hospitalier Régional d'Orléans

Orléans, Loiret, France

Site Status

Centre Hospitalier de Cahors

Cahors, Lot, France

Site Status

Centre Hospitalier Cholet

Cholet, Maine-et-Loire, France

Site Status

Centre Hospitalier de Saint-Lo

Saint-Lô, Manche, France

Site Status

CHU de Lille

Lille, Nord, France

Site Status

Centre Hospitalier de Valenciennes

Valenciennes, Nord, France

Site Status

CHU de Saint-Etienne

Saint-Priest-en-Jarez, Pays de la Loire Region, France

Site Status

Centre d'endocrinologie

Cabestany, Pyrénées Orientales, France

Site Status

Hôpital Edouard Herriot (HCL)

Lyon, Rhône, France

Site Status

Hôpital Croix rousse (HCL)

Lyon, Rhône, France

Site Status

Centre Hospitalier William Morey

Chalon-sur-Saône, Saône-et-Loire, France

Site Status

Centre Hospitalier de Mâcon

Mâcon, Saône-et-Loire, France

Site Status

Hôpital Avicenne Bobigny (AP-HP)

Bobigny, Seine-Saint-Denis, France

Site Status

CHU d'Amiens

Amiens, Somme, France

Site Status

Hôpital Nord Franche-Comté

Trévenans, Territoire De Belfort, France

Site Status

Hôpital Henri Mondor (AP-HP)

Créteil, Val-de-Marne, France

Site Status

HIA Sainte Anne

Toulon, VAR, France

Site Status

Centre Hospitalier d'Avignon

Avignon, Vaucluse, France

Site Status

Centre Hospitalier Départemental de Vendée

La Roche-sur-Yon, Vendée, France

Site Status

Hôpital Saint Joseph

Paris, , France

Site Status

Hôpital Saint Louis

Paris, , France

Site Status

Hôpital Saint Antoine

Paris, , France

Site Status

Hôpital La Pitié Salpêtrière

Paris, , France

Site Status

Groupement Hospitalier Diaconesses Croix Saint Simon

Paris, , France

Site Status

CHU de Toulouse - Hôpital La Grave

Toulouse, , France

Site Status

Countries

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France

References

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Bernard KA, Pacheco AL, Burdz T, Wiebe D. Increase in detection of Corynebacterium diphtheriae in Canada: 2006-2019. Can Commun Dis Rep. 2019 Nov 7;45(11):296-301. doi: 10.14745/ccdr.v45i11a04. eCollection 2019 Nov 7.

Reference Type BACKGROUND
PMID: 31755876 (View on PubMed)

Martini H, Soetens O, Litt D, Fry NK, Detemmerman L, Wybo I, Desombere I, Efstratiou A, Pierard D. Diphtheria in Belgium: 2010-2017. J Med Microbiol. 2019 Oct;68(10):1517-1525. doi: 10.1099/jmm.0.001039.

Reference Type BACKGROUND
PMID: 31418673 (View on PubMed)

Jaton L, Kritikos A, Bodenmann P, Greub G, Merz L. [European migrant crisis and reemergence of infections in Switzerland]. Rev Med Suisse. 2016 Apr 13;12(514):749-53. French.

Reference Type BACKGROUND
PMID: 27263151 (View on PubMed)

Morgado-Carrasco D, Riquelme-Mc Loughlin C, Fusta-Novell X, Fernandez-Pittol MJ, Bosch J, Mascaro JM Jr. Cutaneous Diphtheria Mimicking Pyoderma Gangrenosum. JAMA Dermatol. 2018 Feb 1;154(2):227-228. doi: 10.1001/jamadermatol.2017.4786. No abstract available.

Reference Type BACKGROUND
PMID: 29282460 (View on PubMed)

Pandit N, Yeshwanth M. Cutaneous diphtheria in a child. Int J Dermatol. 1999 Apr;38(4):298-9. doi: 10.1046/j.1365-4362.1999.00658.x. No abstract available.

Reference Type BACKGROUND
PMID: 10321948 (View on PubMed)

Wagner KS, White JM, Lucenko I, Mercer D, Crowcroft NS, Neal S, Efstratiou A; Diphtheria Surveillance Network. Diphtheria in the postepidemic period, Europe, 2000-2009. Emerg Infect Dis. 2012 Feb;18(2):217-25. doi: 10.3201/eid1802.110987.

Reference Type BACKGROUND
PMID: 22304732 (View on PubMed)

Gower CM, Scobie A, Fry NK, Litt DJ, Cameron JC, Chand MA, Brown CS, Collins S, White JM, Ramsay ME, Amirthalingam G. The changing epidemiology of diphtheria in the United Kingdom, 2009 to 2017. Euro Surveill. 2020 Mar;25(11):1900462. doi: 10.2807/1560-7917.ES.2020.25.11.1900462.

Reference Type BACKGROUND
PMID: 32209165 (View on PubMed)

Koopman JS, Campbell J. The role of cutaneous diphtheria infections in a diphtheria epidemic. J Infect Dis. 1975 Mar;131(3):239-44. doi: 10.1093/infdis/131.3.239.

Reference Type BACKGROUND
PMID: 805182 (View on PubMed)

de Benoist AC, White JM, Efstratiou A, Kelly C, Mann G, Nazareth B, Irish CJ, Kumar D, Crowcroft NS. Imported cutaneous diphtheria, United Kingdom. Emerg Infect Dis. 2004 Mar;10(3):511-3. doi: 10.3201/eid1003.030524.

Reference Type BACKGROUND
PMID: 15109425 (View on PubMed)

Chene L, Morand JJ, Badell E, Toubiana J, Janvier F, Marthinet H, Suppini JP, Valois A, Texier G, Brisse S, Dutasta F OEDIPE Study Group. Cutaneous diphtheria from 2018 to 2022: an observational, retrospective study of epidemiological, microbiological, clinical, and therapeutic characteristics in metropolitan France. Emerg Microbes Infect. 2024 Dec;13(1):2408324. doi: 10.1080/22221751.2024.2408324. Epub 2024 Sep 30.

Reference Type RESULT
PMID: 39324172 (View on PubMed)

Other Identifiers

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2022-CHITS-013

Identifier Type: -

Identifier Source: org_study_id

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