Kajfasz Piotr, Bartoszcze Michał, Borkowski Piotr Karol, Basiak Wojciech
Department of Zoonoses and Tropical Diseases, Medical University of Warsaw, Poland.
Biological Threats Identification and Coutermeasure Center of Military Institute of Hygiene and Epidemiology, Puławy, Poland.
Przegl Epidemiol. 2014;68(4):657-9.
A 15-year-old girl was admitted to our Department with cutaneous lesion resembling black eschar. Anamnesis revealed that before getting ill she was wearing pullover made of rough sheep's wool and ornaments made of leather like straps. Cutaneous anthrax was confirmed by identification of B. anthracis in specimens from weeping ulceration, culture from black eschar, thermoprecipitation test, and bioassay on guinea pig. The girl was treated with crystalline Penicillin. She responded well to the therapy and recovered after 28 days. What attracts attention in presented case is the fact that the girl didn't belong to high risk group of human anthrax, which might lead to misdiagnosis. In 1990-1999, Poland there were reported 22 cases of anthrax - it was almost exclusively cutaneous form. In the years following 1999 antrax was reported even less often - in the period 1991-2013 it was recorded a total of 26 cutaneous anthrax cases.
一名15岁女孩因皮肤出现类似黑色焦痂的病变被收治入我院。病史显示，患病前她穿着粗糙羊毛制成的套头衫和皮革制成的类似皮带的饰品。通过对溃疡渗出物标本进行炭疽杆菌鉴定、黑色焦痂培养、热沉淀试验以及豚鼠生物测定，确诊为皮肤炭疽。该女孩接受了结晶青霉素治疗。她对治疗反应良好，28天后康复。本病例中引人关注的是，该女孩不属于人类炭疽的高危人群，这可能导致误诊。1990 - 1999年，波兰报告了22例炭疽病例，几乎均为皮肤型。1999年之后，炭疽报告更为少见，1991 - 2013年期间共记录了26例皮肤炭疽病例。
