The paramedic, suspecting cutaneous anthrax
, transferred the case to the Infectious Department.
Majority of the human cases (95.8%) are diagnosed with cutaneous anthrax
is transmitted through a cut when a person comes into contact with infected animals or contaminated products.
During the last two decades, about 70 cases of human anthrax have been encountered at Christian Medical College, Vellore, of which 26 cases had cutaneous anthrax
. A review of Indian literature in 1996 has found 112 cases of anthrax (71 cutaneous anthrax
cases) in places other than Vellore.
in the central Anatolia Region of Turkey: A review of 39 adults cases.
Recent outbreak of cutaneous anthrax
in Bangladesh: clinico- demographic profile and treatment outcome of cases attended at Rajshahi Medical College Hospital.
is accompanied by a severe general reaction: headaches, general malaise, high body temperature.
(1,3,7-9) Condition Characteristics Warfarin-induced Painful, erythematous, edematous skin necrosis lesions; rapidly progressive; petechiae, hemorrhagic bullae, then necrotic eschar Cutaneous anthrax
Small painless, pruritic papules; advances to bullae; finally erodes to painless necrotic lesions with black eschar Cholesterol Majority with livedo reticularis, embolization cyanosis, or gangrene; smaller percentage with cutaneous ulceration, purpura, petechiae, or painful, firm erythematous nodules Vasculitis Palpable purpura; biopsy of most affected area is necessary for diagnosis Calciphylaxis Painful erythematous papules, plaques, nodules, or ulcerations in areas with high adiposity; may progress to necrosis
associated with drum making using goat hides from West Africa--Connecticut, 2007.
Differential diagnoses for cutaneous anthrax
include brown recluse spider bites, ecthyma gangrenosum, tularemia, staph infections, and herpes labialis.
anthracis most frequently enters the body via skin abrasions, injuries, or blemishes resulting in cutaneous anthrax
. Airborne infection (via shearing of infected sheep or handling of infected hides) and gastrointestinal infection (via consumption of contaminated meat or milk) can also lead to infection.