Diphtheria or Streptococcal Pharyngitis: A Case Report Highlighting the Diagnostic Dilemma in the Post-vaccination Era.

Cureus · 2019 · PMC6919956 · PMID 31890394

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an increasing trendno p-value reported

Recently, there is an increasing trend in reports of diphtheria throughout the world and specifically from developing countries.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.