Inhalational anthrax with acute respiratory distress syndrome.
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.
Velayudhan
Manjula Nair
MN
Department of Paediatrics, Pondicherry Institute of Medical Sciences, India. drvmanju@yahoo.com
Nalini
P
P
Kanungo
Reba
R
Shashikala
Cherian
T A
TA
Srinivasan
S
S
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