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Rudolph's PediatricsRudolph's Pediatrics

Section 17. Infectious Diseases > 

Part 5. Bacterial Infections > 

Chapter 251. Anthrax (Bacillus Anthracis)

Denise Bratcher
Topics Discussed: anthrax disease; bacillus anthracis; cutaneous anthrax; gastrointestinal anthrax; infectious diseases; inhalational anthrax.
Sections: References.
Excerpt:"Anthrax is an acute infectious disease caused by the gram-positive, encapsulated, nonmotile, spore-forming rod Bacillus anthracis.1,2 The incubation period is 1 to 7 days after exposure, and no person-to-person transmission is documented. Its potential as an agent of bioterrorism should prompt immediate notification of the local or state health department upon first suspicion of an anthrax-like illness. Human anthrax cases arise after exposure to infected animals or their products and rarely occur in the United States. In 2001, B anthracis spores intentionally delivered through the US Postal Serviceresulted in 22 cases of bioterrorism-related anthrax.3 Anthrax infections occur as cutaneous, inhaled, and gastrointestinal. All forms can progress to sepsis and meningitis. Cutaneous anthrax appears when B anthracis spores enter through a cutaneous abrasion.4 A small erythematous papule vesiculates to form a painless eschar with marked edema. Lymphadenopathy or lymphangitis may occur. Untreated, mortality is as high as 20%...."
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