Toxemic shock, hematuria, hypokalemia, and hypoproteinemia in a case of cutaneous anthrax.
A 20-year-old woman who had daily contact with domestic herbivores presented with a painless and pruritic lesion in her neck; the lesion ulcerated to a black necrotic eschar from which Bacillus anthracis grew. Rapidly expanding edema at the site of the ulcer was followed by shock, hematuria, hypokalemia, and hypoproteinemia. The latter symptoms - unusual for cutaneous anthrax - responded to intravenous penicillin therapy.
Khajehdehi
P
P
Department of Medicine, Shiraz University of Medical Sciences, Iran.
D000328:Adult; D000881:Anthrax / Q000150:complications* / Q000188:drug therapy / Q000503:physiopathology; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007008:Hypokalemia / Q000209:etiology; D007019:Hypoproteinemia / Q000209:etiology; D012772:Shock, Septic / Q000209:etiology*