Babamiri Behnam, Mohammadi Farshad, Faraji Navid, Aliaghayee Amir, Fathi Aram, Faramarzi Mohammad Reza
Critical Care and Emergency Nursing Department, Nursing and Midwifery School, Zanjan University of Medical Sciences, Zanjan, Iran.
Department of Community Health Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, West Azerbaijan, Iran.
Int J Surg Case Rep. 2025 Aug 21;135:111857. doi: 10.1016/j.ijscr.2025.111857.
Infectious diseases, especially those arising from zoonotic pathogens like Bacillus anthracis, represent substantial public health threats. This case underscores the dangers linked to soil exposure in endemic regions and the challenges involved in treating cutaneous anthrax.
A 50-year-old woman developed severe infections in her left index and right middle fingers after gardening in an anthrax-endemic area. What started as mild symptoms progressed to tissue damage with swelling, redness, and a cutaneous anthrax lesion; a biopsy confirmed cutaneous anthrax.
The patient received surgical debridement and five maggot therapy sessions, which effectively reduced bacteria and promoted healing. This highlights the benefit of combining surgical and biological treatments, emphasizing the importance of prompt diagnosis and intervention in zoonotic infections.
In conclusion, this case underscores the necessity for heightened public awareness regarding soil exposure risks in endemic areas and the effective management of cutaneous anthrax. The combination of surgical and biological treatment approaches can significantly enhance patient outcomes in complex infectious diseases.
传染病，尤其是由炭疽芽孢杆菌等人畜共患病原体引起的传染病，对公众健康构成重大威胁。该病例凸显了地方性流行区域土壤暴露相关的危险以及治疗皮肤炭疽所面临的挑战。
一名50岁女性在炭疽地方性流行区域从事园艺工作后，左手食指和右手中指出现严重感染。最初的轻微症状逐渐发展为组织损伤，伴有肿胀、发红和皮肤炭疽病灶；活检确诊为皮肤炭疽。
患者接受了手术清创和五次蛆虫疗法，有效减少了细菌数量并促进了愈合。这突出了手术与生物治疗相结合的益处，强调了人畜共患病感染中及时诊断和干预的重要性。
总之，该病例强调了提高公众对地方性流行区域土壤暴露风险的认识以及有效管理皮肤炭疽的必要性。手术和生物治疗方法相结合可显著改善复杂传染病患者的治疗效果。
