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Diagnosis of cutaneous anthrax in resource-poor settings in West Arsi Province, Ethiopia.

Abstract Cutaneous anthrax is a zoonotic disease caused by the spore-forming bacterium Bacillus anthracis, which typically presents with ulcers after contact with animals or animal products, and is rarely seen in high-income countries but is common in those with low- and middle-incomes. Objective. The aim of this study is to show the main clinical characteristics of cutaneous anthrax in endemic areas.
PMID
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Authors

Mayor MeshTerms
Keywords

Bacillus anthracis

Ethiopia

cutaneous anthrax

Journal Title annals of agricultural and environmental medicine : aaem
Publication Year Start




PMID- 29284252
OWN - NLM
STAT- MEDLINE
DCOM- 20180105
LR  - 20180105
IS  - 1898-2263 (Electronic)
IS  - 1232-1966 (Linking)
VI  - 24
IP  - 4
DP  - 2017 Dec 23
TI  - Diagnosis of cutaneous anthrax in resource-poor settings in West Arsi Province,
      Ethiopia.
PG  - 712-715
LID - 80705 [pii]
LID - 10.26444/aaem/80705 [doi]
AB  - INTRODUCTION: Cutaneous anthrax is a zoonotic disease caused by the spore-forming
      bacterium Bacillus anthracis, which typically presents with ulcers after contact 
      with animals or animal products, and is rarely seen in high-income countries but 
      is common in those with low- and middle-incomes. Objective. The aim of this study
      is to show the main clinical characteristics of cutaneous anthrax in endemic
      areas. MATERIAL AND METHODS: The study describes the main clinical
      characteristics of cutaneous anthrax in eight patients (six female and two male, 
      age range 1 - 56 years) admitted to the rural General Hospital of Gambo, West
      Arsi Province of Ethiopia from 2010-2013. RESULTS: In all cases, lesions began as
      an erythematous papule located on exposed sites (n=7 head; n=1 thigh) and
      subsequently became a necrotic black eschar surrounded by an edematous halo. Two 
      patients presented with painful ipsilateral adenopathy near the black eschar.
      Four patients developed a malignant pustule on the suborbital region of the face.
      Patients responded positively to treatment, and the lesions resolved, leaving
      eschars. However, one patient suffered the loss of an eyeball, and another died
      12 hours after starting treatment. CONCLUSIONS: Physicians working in rural areas
      of resource-poor settings should be trained in the clinical identification of
      cutaneous anthrax. Early antibiotic treatment is essential for decreasing
      morbidity and mortality.
FAU - Perez-Tanoira, Ramon
AU  - Perez-Tanoira R
AD  - Gambo Rural General Hospital, Kore, West-Arsi, Gambo, Ethiopia.
      [email protected]
FAU - Ramos, Jose Manuel
AU  - Ramos JM
AD  - Gambo Rural General Hospital, Kore, West-Arsi, Gambo, Ethiopia.
      [email protected]
FAU - Prieto-Perez, Laura
AU  - Prieto-Perez L
AD  - Gambo Rural General Hospital, Kore, West-Arsi, Gambo, Ethiopia.
      [email protected]
FAU - Tesfamariam, Abraham
AU  - Tesfamariam A
AD  - Gambo Rural General Hospital, Kore, West-Arsi, Gambo, Ethiopia.
      [email protected]
FAU - Balcha, Seble
AU  - Balcha S
AD  - Gambo Rural General Hospital, Kore, West-Arsi, Gambo, Ethiopia. [email protected]
FAU - Tissiano, Gabre
AU  - Tissiano G
AD  - Gambo Rural General Hospital, Kore, West-Arsi, Gambo, Ethiopia.
      [email protected]
FAU - Cabello, Alfonso
AU  - Cabello A
AD  - Gambo Rural General Hospital, Kore, West-Arsi, Gambo, Ethiopia. [email protected]
FAU - Cuadros, Juan
AU  - Cuadros J
AD  - Gambo Rural General Hospital, Kore, West-Arsi, Gambo, Ethiopia.
      [email protected]
FAU - Rodriguez-Valero, Natalia
AU  - Rodriguez-Valero N
AD  - Tropical Medicine Unit, Hospital Clinic, Barcelona, Spain.
FAU - Barreiro, Pablo
AU  - Barreiro P
AD  - Tropical and Travel Medicine Unit. Hospital Carlos III - La Paz. Madrid, Spain.
FAU - Reyes, Francisco
AU  - Reyes F
AD  - Gambo Rural General Hospital, Kore, West-Arsi, Gambo, Ethiopia.
FAU - Gorgolas, Miguel
AU  - Gorgolas M
AD  - Gambo Rural General Hospital, Kore, West-Arsi, Gambo, Ethiopia.
      [email protected]
LA  - eng
PT  - Journal Article
DEP - 20171222
PL  - Poland
TA  - Ann Agric Environ Med
JT  - Annals of agricultural and environmental medicine : AAEM
JID - 9500166
RN  - 0 (Anti-Bacterial Agents)
RN  - Cutaneous anthrax
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Anthrax/*diagnosis/drug therapy/epidemiology/microbiology
MH  - Anti-Bacterial Agents/administration & dosage
MH  - Bacillus anthracis/drug effects/genetics/isolation & purification/*physiology
MH  - Child
MH  - Child, Preschool
MH  - Ethiopia/epidemiology
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - Rural Population
MH  - Skin Diseases, Bacterial/*diagnosis/drug therapy/epidemiology/microbiology
MH  - Young Adult
OTO - NOTNLM
OT  - Bacillus anthracis
OT  - Ethiopia
OT  - cutaneous anthrax
EDAT- 2017/12/30 06:00
MHDA- 2018/01/06 06:00
CRDT- 2017/12/30 06:00
PHST- 2017/12/30 06:00 [entrez]
PHST- 2017/12/30 06:00 [pubmed]
PHST- 2018/01/06 06:00 [medline]
AID - 80705 [pii]
AID - 10.26444/aaem/80705 [doi]
PST - ppublish
SO  - Ann Agric Environ Med. 2017 Dec 23;24(4):712-715. doi: 10.26444/aaem/80705. Epub 
      2017 Dec 22.