Imported Toxin-Producing Cutaneous Diphtheria --- Minnesota, Washington, and New Mexico, 2015--2018

Toxin-producing Corynebacterium diphtheriae was identified in cutaneous wounds from four U.S. residents after return from international travel. Public health response for toxin-producing diphtheria includes treating patients, providing chemoprophylaxis to close contacts, testing patients and close contacts for C. diphtheriae carriage, and providing diphtheria toxoid-containing vaccine to incompletely immunized patients and close contacts.