Two rare presentations of fatal anthrax: meningeal and intestinal.
Department of Pathology, Imam Hussein Hospital, Shaheed Beheshti University of Medical Sciences, Mofid Hospital, Shariati Street, Tehran, Iran.Archives of Iranian medicine (Impact Factor: 1.11). 09/2010; 13(5):432-5.
Anthrax is an ancient disease of animals and men, caused by Bacillus anthracis. The diagnosis of cutaneous infection is relatively easy, but other clinical forms might escape recognition. We present two rare and fatal forms of anthrax: meningeal in a 33-year-old male shepherd and intestinal in a 4-year-old boy. The former was admitted to the hospital with complaints of headache, vomiting, fever, and decreased level of consciousness. The latter presented with abdominal pain and distension, vomiting, and fever. Both cases were proven by animal inoculation.
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ABSTRACT: Abstract We report the case of fatal anthrax meningoencephalitis in the province of Muş located in eastern Anatolia, Turkey. The organism isolated from cerebrospinal fluid was identified as Bacillus anthracis. The patient was treated with crystallized penicillin G (24 MU/day IV) and ciprofloxacin (2 × 400/day IV), but died 5 days after hospitalization. Although it is a rare case, we consider that the patients who have skin, respiratory and neurological systems might also have hemorrhagic meningitis.Cutaneous and Ocular Toxicology 03/2014; 34(1). DOI:10.3109/15569527.2014.885530 · 1.12 Impact Factor
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