For which infectious disease is passive immunization routinely used in clinical practice to provide immediate neutralization (e.g., administration of antitoxin or immunoglobulin)?

Difficulty: Easy

Correct Answer: Diphtheria

Explanation:


Introduction / Context:
Passive immunization involves giving pre-formed antibodies (antitoxin or immunoglobulin) to rapidly neutralize a toxin or pathogen. It provides immediate, short-term protection, unlike vaccines that induce active immunity. Diphtheria is a classic indication for passive antitoxin therapy in suspected cases.


Given Data / Assumptions:

  • We seek a disease where immediate antibody-mediated neutralization is standard.
  • Passive immunity does not require the host to mount a response.


Concept / Approach:
Corynebacterium diphtheriae produces a potent exotoxin causing local necrosis and systemic complications. Diphtheria antitoxin (DAT) neutralizes circulating toxin and is most effective when given early. Tuberculosis and typhoid rely on antimicrobial therapy and vaccines; passive immunization has no routine role.


Step-by-Step Solution:

Step 1: Identify toxin-mediated illnesses where antitoxin is lifesaving → diphtheria, tetanus, botulism.Step 2: Compare with TB and typhoid → primarily treated with antibiotics and prevented by vaccines; passive antibodies are not standard of care.Step 3: Choose diphtheria as the correct example.


Verification / Alternative check:
Clinical guidelines recommend immediate DAT administration in suspected diphtheria, alongside antibiotics, to reduce morbidity and mortality.


Why Other Options Are Wrong:

  • Tuberculosis: No role for passive antibodies; management is multi-drug therapy and BCG vaccination (active).
  • Enteric fever: Treated with antibiotics; vaccines used for prevention.
  • Measles: Post-exposure immune globulin may be used in certain high-risk cases, but the canonical textbook answer in this set is diphtheria (antitoxin).
  • All of these: Incorrect because TB/typhoid lack routine passive therapy.


Common Pitfalls:

  • Confusing post-exposure prophylaxis (e.g., rabies, hepatitis B) with diseases not treated by passive immunization.


Final Answer:
Diphtheria

Discussion & Comments

No comments yet. Be the first to comment!
Join Discussion