Christie A B
Postgrad Med J. 1973 Aug;49(574):565-70. doi: 10.1136/pgmj.49.574.565.
Cutaneous anthrax is usually easy to diagnose provided the doctor thinks of anthrax. The lesion most likely to be confused with anthrax is accidental vaccinia. Orf lacks the characteristic central eschar. Cutaneous anthrax responds to antibiotic therapy: rare complications are meningitis and hypoxic hypertension. Pulmonary anthrax is highly fatal: its incidence is related to the number and size of anthrax-containing particles which are inhaled. Artificial mists containing lethal doses of anthrax bacilli can be manufactured. Intestinal anthrax may present as gastroenteritis or as ulceration of the intestine with obstruction and perforation.
如果医生考虑到炭疽,皮肤炭疽通常很容易诊断。最容易与炭疽混淆的病变是意外接种牛痘。羊痘疮没有典型的中央焦痂。皮肤炭疽对抗生素治疗有反应:罕见的并发症是脑膜炎和低氧性高血压。肺炭疽致死率很高:其发病率与吸入的含炭疽颗粒的数量和大小有关。可以制造含有致死剂量炭疽杆菌的人工雾滴。肠炭疽可能表现为肠胃炎,或表现为伴有梗阻和穿孔的肠道溃疡。