Diphtheria

Diphtheria is a serious bacterial infection that mainly affects the nose and throat, and sometimes the skin. The bacteria make a toxin that can form a thick grey coating in the throat, making breathing and swallowing difficult, and can damage the heart and nerves. It is rare in countries with routine childhood vaccination.

Last updated Nov 9, 2026

What it is

It spreads through coughs, sneezes and close contact. Travellers to areas where it is still common should make sure they are vaccinated.

It is treated in hospital with antitoxin and antibiotics. Close contacts are given antibiotics and, if needed, a vaccine booster.

Common signs

  • A thick grey-white coating at the back of the throat
  • Sore throat and high temperature
  • Swollen glands in the neck
  • Difficulty breathing and swallowing
  • Skin sores (skin diphtheria)

How it is usually diagnosed

  • A swab from the throat or skin sore
  • Tests for the toxin

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Vaccination records
  • Swab results
  • Hospital discharge summaries
  • Travel history

Questions to ask your doctor

  • Are my family's vaccinations up to date?
  • Do my close contacts need treatment?
  • Is there any lasting effect on the heart or nerves?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Difficulty breathing or swallowing, or a grey coating in the throat after travel: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources