title: Inhalational anthrax with acute respiratory distress syndrome.
abstract: A 10-year-old boy presented with facial swelling, thick exudates in the nasal cavities with membranes covering the nasopharynx, shock and respiratory distress. X-ray of the paranasal sinuses showed opacification of both maxillary sinuses. Nasal diphtheria was suspected but culture of the membranes grew Bacillus anthracis. Chest X-ray showed mediastinal widening and extensive pulmonary infiltrates compatible with respiratory anthrax.
authors.affiliation: Department of Paediatrics, Pondicherry Institute of Medical Sciences, India. drvmanju@yahoo.com
authors.forename: Manjula Nair
authors.initials: MN
authors.lastname: Velayudhan
authors.forename: P
authors.initials: P
authors.lastname: Nalini
authors.forename: Reba
authors.initials: R
authors.lastname: Kanungo
authors.lastname: Shashikala
authors.forename: T A
authors.initials: TA
authors.lastname: Cherian
authors.forename: S
authors.initials: S
authors.lastname: Srinivasan
mesh_terms: D000881:Anthrax / Q000150:complications* / Q000382:microbiology; D001408:Bacillus anthracis / Q000302:isolation & purification; D002648:Child; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D012128:Respiratory Distress Syndrome / Q000150:complications* / Q000382:microbiology; D012141:Respiratory Tract Infections / Q000150:complications* / Q000382:microbiology