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Clinical Findings in Children with Cutaneous Anthrax in Eastern Turkey
Author(s) -
Akbayram Sinan,
Doğan Murat,
Akgün Cihangir,
Peker Erdal,
Selçuk Bektaş M.,
Kaya Avni,
Çaksen Hüseyin,
Öner Ahmet Faik
Publication year - 2010
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/j.1525-1470.2010.01214.x
Subject(s) - medicine , bacillus anthracis , outbreak , gram staining , edema , zoonosis , surgery , veterinary medicine , pathology , antibiotics , genetics , bacteria , microbiology and biotechnology , biology
Anthrax is a zoonosis produced by Bacillus anthracis . The aim of this study was to evaluate the clinical findings, therapy, and outcome in children with cutaneous anthrax (CA). Data on age, gender, occupation, clinical symptoms and findings, location and type of lesions, clinical history, laboratory findings, treatment, and outcome were recorded from patients’ medical records, retrospectively. The study included 65 patients between 1 month and 18 years old (9.0 ± 4.0 years), 37 patients (56.9%) were male and 28 (43.1%) were female. Most of the patients (89.1%) were admitted in summer and autumn (p < 0.001). Of the 65 patients, 20 patients (30.8%) had received antibiotherapy before admission to our hospital. All patients except one had a contact history with infected animals. A 1‐month‐old patient had a contact history with his mother who had CA. On clinical examination, anthrax edema was noted in 36 (55.3%) patients, anthrax pustule in 27 (41.5%), and anthrax edema and anthrax pustule in two (3%) patients. Gram staining and culture was positive for B. anthracis in 35 (53.8%) patients, and only Gram staining was positive in 10 (15.4%) patients. In the remaining 20 (30.8%) patients, the diagnosis was made by clinical findings. Because the anthrax outbreak in Turkey was associated with slaughtering or milking of ill cows, sheep, or goats, and handling raw meat without taking any protective measures, persons in the community must be educated about using personal protective equipment during slaughtering of animals and handling of meat and skins.