Cutaneous anthrax rapidly progressed into septic anthrax resulting in death – A case report

Anthrax is a fatal zoonotic disease and the acute risk associated with it cannot be underestimated. Cutaneous anthrax accounts for more than 95 % of anthrax and usually does not lead to death. We present a case of severe cutaneous anthrax treated with a three-day course of combination antibiotics th...

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Main Authors: Yufei Lyu, Shiyuan Li, Dongshu Wang, Meijie Feng, Wenjun Li, Xiankai Liu, Jia Zhou, Li Nie, Chao Pan, Shujuan Yu, Yan Guo, Hua Shao
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:IDCases
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Online Access:http://www.sciencedirect.com/science/article/pii/S221425092500071X
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author Yufei Lyu
Shiyuan Li
Dongshu Wang
Meijie Feng
Wenjun Li
Xiankai Liu
Jia Zhou
Li Nie
Chao Pan
Shujuan Yu
Yan Guo
Hua Shao
author_facet Yufei Lyu
Shiyuan Li
Dongshu Wang
Meijie Feng
Wenjun Li
Xiankai Liu
Jia Zhou
Li Nie
Chao Pan
Shujuan Yu
Yan Guo
Hua Shao
author_sort Yufei Lyu
collection DOAJ
description Anthrax is a fatal zoonotic disease and the acute risk associated with it cannot be underestimated. Cutaneous anthrax accounts for more than 95 % of anthrax and usually does not lead to death. We present a case of severe cutaneous anthrax treated with a three-day course of combination antibiotics therapy, which culminated into death due to multiple organ failure. The patient did not exhibit symptoms suspected of meningitis anthrax and pulmonary anthrax. Computed Tomography revealed subcutaneous exudates in the chest, back, left supraclavicular fossa, and bilateral axillary regions. Some newly factors, like hypotension, elevated creatinine, acidosis, and a urinary tract infection, provide valuable insights into the clinical intervention in early. In rural areas, educating residents about anthrax symptoms and risks is crucial.
format Article
id doaj-art-d179c9c84c24474c9c388e32aad6c2a0
institution Kabale University
issn 2214-2509
language English
publishDate 2025-01-01
publisher Elsevier
record_format Article
series IDCases
spelling doaj-art-d179c9c84c24474c9c388e32aad6c2a02025-08-20T03:45:45ZengElsevierIDCases2214-25092025-01-0140e0221610.1016/j.idcr.2025.e02216Cutaneous anthrax rapidly progressed into septic anthrax resulting in death – A case reportYufei Lyu0Shiyuan Li1Dongshu Wang2Meijie Feng3Wenjun Li4Xiankai Liu5Jia Zhou6Li Nie7Chao Pan8Shujuan Yu9Yan Guo10Hua Shao11State Key Laboratory of Pathogens and Biosecurity, Beijing Institute of Biotechnology, 20 Dongdajie Street, Fengtai District, Beijing 100071, China; Corresponding author.Tongliao Center of Disease Control and Prevention, 11 Jianguo Road, Horqin District, Tongliao City, Inner Mongolia Autonomous Region 028000, ChinaState Key Laboratory of Pathogens and Biosecurity, Beijing Institute of Biotechnology, 20 Dongdajie Street, Fengtai District, Beijing 100071, ChinaState Key Laboratory of Pathogens and Biosecurity, Beijing Institute of Biotechnology, 20 Dongdajie Street, Fengtai District, Beijing 100071, China; College of Food Science and Technology, Shanghai Ocean University, 999 Hucheng Huan Road, Nanhui New City, Shanghai 201306, ChinaState Key Laboratory of Pathogens and Biosecurity, Beijing Institute of Biotechnology, 20 Dongdajie Street, Fengtai District, Beijing 100071, ChinaState Key Laboratory of Pathogens and Biosecurity, Beijing Institute of Biotechnology, 20 Dongdajie Street, Fengtai District, Beijing 100071, ChinaTongliao City People's Hospital, 668 Horqin Avenue, Horqin District, Tongliao City, Inner Mongolia Autonomous Region 028000, ChinaThe Sixth People's Hospital of Tongliao City, 617 Tongxing Road, Horqin District, Tongliao City, Inner Mongolia Autonomous Region 028000, ChinaState Key Laboratory of Pathogens and Biosecurity, Beijing Institute of Biotechnology, 20 Dongdajie Street, Fengtai District, Beijing 100071, ChinaState Key Laboratory of Pathogens and Biosecurity, Beijing Institute of Biotechnology, 20 Dongdajie Street, Fengtai District, Beijing 100071, ChinaState Key Laboratory of Pathogens and Biosecurity, Beijing Institute of Biotechnology, 20 Dongdajie Street, Fengtai District, Beijing 100071, ChinaTongliao Center of Disease Control and Prevention, 11 Jianguo Road, Horqin District, Tongliao City, Inner Mongolia Autonomous Region 028000, ChinaAnthrax is a fatal zoonotic disease and the acute risk associated with it cannot be underestimated. Cutaneous anthrax accounts for more than 95 % of anthrax and usually does not lead to death. We present a case of severe cutaneous anthrax treated with a three-day course of combination antibiotics therapy, which culminated into death due to multiple organ failure. The patient did not exhibit symptoms suspected of meningitis anthrax and pulmonary anthrax. Computed Tomography revealed subcutaneous exudates in the chest, back, left supraclavicular fossa, and bilateral axillary regions. Some newly factors, like hypotension, elevated creatinine, acidosis, and a urinary tract infection, provide valuable insights into the clinical intervention in early. In rural areas, educating residents about anthrax symptoms and risks is crucial.http://www.sciencedirect.com/science/article/pii/S221425092500071XCutaneous anthraxHypotensionAcidosisNeck lesion
spellingShingle Yufei Lyu
Shiyuan Li
Dongshu Wang
Meijie Feng
Wenjun Li
Xiankai Liu
Jia Zhou
Li Nie
Chao Pan
Shujuan Yu
Yan Guo
Hua Shao
Cutaneous anthrax rapidly progressed into septic anthrax resulting in death – A case report
IDCases
Cutaneous anthrax
Hypotension
Acidosis
Neck lesion
title Cutaneous anthrax rapidly progressed into septic anthrax resulting in death – A case report
title_full Cutaneous anthrax rapidly progressed into septic anthrax resulting in death – A case report
title_fullStr Cutaneous anthrax rapidly progressed into septic anthrax resulting in death – A case report
title_full_unstemmed Cutaneous anthrax rapidly progressed into septic anthrax resulting in death – A case report
title_short Cutaneous anthrax rapidly progressed into septic anthrax resulting in death – A case report
title_sort cutaneous anthrax rapidly progressed into septic anthrax resulting in death a case report
topic Cutaneous anthrax
Hypotension
Acidosis
Neck lesion
url http://www.sciencedirect.com/science/article/pii/S221425092500071X
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