Ozer Vildan, Gunaydin Mucahit, Pasli Sinan, Aksoy Firdevs, Gunduz Abdulkadir
Rize State Hospital, Department of Emergency Medicine, Rize, Turkey.
Giresun University, Faculty of Medicine, Department of Emergency Medicine, Giresun, Turkey.
Turk J Emerg Med. 2018 Nov 14;19(2):76-78. doi: 10.1016/j.tjem.2018.10.002. eCollection 2019 Apr.
Anthrax is a zoonosis affecting herbivorous animals. Its agent is Bacillus anthracis and it is gram positive, aerobic or facultative anaerobic, immobile and has a capsule in the polypeptide structure. The incidence is gradually decreasing in the world and in our country. The disease is especially seen in areas where stock breeding is common. In this case series, 3 cases, one of them was mortal, took place after anthrax infected cow was eaten in February 2018 in Trabzon was shared.
In the first case, as a result of the animal's meat was eaten, gastrointestinal anthrax and associated sepsis were seen. This patient's blood culture was positive and she was died. Second case after contacting the patient who died, and third case after contacting the animal and eating its meat, diagnosed with cutaneous anthrax. Doxycycline treatment was started with cutaneous anthrax patients, these cases were recovered without any complications.
We presented this article, to update our information about gastrointestinal anthrax and other anthrax types which are become a current issue again especially due to bioterrorism and also to keep it in mind in the differential diagnosis although it is rarely seen in our stock raising areas.
炭疽是一种影响食草动物的人畜共患病。其病原体是炭疽芽孢杆菌,革兰氏阳性,需氧或兼性厌氧,无运动性,在多肽结构中有荚膜。在世界范围内和我国,其发病率正在逐渐下降。该病尤其多见于畜牧业普遍的地区。在本病例系列中,分享了2018年2月在特拉布宗因食用感染炭疽的奶牛后发生的3例病例,其中1例死亡。
第一例病例中,由于食用了动物的肉,出现了胃肠型炭疽及相关败血症。该患者血培养呈阳性,最终死亡。第二例病例是在接触死亡患者后发病,第三例病例是在接触动物并食用其肉后发病,均被诊断为皮肤型炭疽。对皮肤型炭疽患者开始使用强力霉素治疗,这些病例均康复且无任何并发症。
我们撰写本文,以更新我们关于胃肠型炭疽和其他类型炭疽的信息,这些类型由于生物恐怖主义再次成为当前问题,并且尽管在我们的畜牧地区很少见,但在鉴别诊断中也应予以考虑。