Detection of Differences in the Nucleotide and Amino Acid Sequences of Diphtheria Toxin fromCorynebacterium diphtheriaeandCorynebacterium ulceransCausing Extrapharyngeal Infections

While Corynebacterium ulcerans can mimic classical diphtheria, extrapharyngeal infections are extremely rare. Sequencing of the diphtheria toxin (DT)-encoding tox gene of two C. ulcerans isolates from extrapharyngeal infections revealed differences from C. diphtheriae DT sequences, mainly in the translocation and receptor-binding domains. C. ulcerans supernatants were much less potent than supernatant from C. diphtheriae. A C. ulcerans DT-specific PCR is described below.