Which of the following is true about Diphtheria except-a) Faucial diphtheria is more dangerous than laryngeal diphtheriab) Laryngeal diphtheria mandates tracheotomyc) Child is more toxic with faucial diphtheriad) Myocarditis may be a complicatione) Palatal paralysis is irreversible

**Core Concept**
Diphtheria is a bacterial infection caused by Corynebacterium diphtheriae, characterized by the formation of a thick, grey membrane in the throat and respiratory tract. The severity of diphtheria depends on the location and extent of the infection.

**Why the Correct Answer is Right**
Laryngeal diphtheria is indeed more dangerous than faucial diphtheria because it can lead to respiratory failure due to airway obstruction. The correct management of laryngeal diphtheria involves intubation or tracheostomy, but tracheotomy is usually reserved for patients with severe airway compromise or those who require prolonged ventilation. Myocarditis is a known complication of diphtheria, particularly in children. Palatal paralysis, also known as "lockjaw," is an early sign of diphtheria and can be reversible with prompt treatment.

**Why Each Wrong Option is Incorrect**
**Option A:** This statement is incorrect because faucial diphtheria is more common and generally less severe than laryngeal diphtheria, which is more likely to cause respiratory failure.

**Option B:** This statement is incorrect because laryngeal diphtheria typically does not mandate tracheotomy as the first line of treatment. Intubation is usually the preferred approach.

**Option C:** This statement is incorrect because children are generally more toxic with faucial diphtheria than laryngeal diphtheria.

**Option D:** This statement is incorrect because palatal paralysis is often reversible with prompt treatment, although it may persist in some cases.

**Clinical Pearl / High-Yield Fact**
It's essential to remember that diphtheria is a vaccine-preventable disease, and prompt recognition and treatment are crucial to prevent complications and improve outcomes.

**Correct Answer:** D. Palatal paralysis is irreversible

✓ Correct Answer: C. abe