title: Cutaneous infection due to Bacillus pumilus: report of 3 cases.
abstract: Human infection due to Bacillus pumilus is exceptional. We report 3 cases of cutaneous infection caused by B. pumilus that occurred in 3 shepherds, 2 of whom were members of the same family. The lesions appeared to have a morphology similar to that of cutaneous anthrax lesions. Two patients were cured after treatment with amoxicillin-clavulanate, and the third patient was cured after prolonged treatment with ciprofloxacin. To our knowledge, primary cutaneous infection due to B. pumilus has not been reported. B. pumilus should be considered in patients who develop lesions suggestive of cutaneous anthrax.
authors.affiliation: Section of Microbiology, University Hospital of Guadalajara, Calle Donante de Sangre S/N, 19002 Guadalajara, Spain. danielt@sescam.jccm.es
authors.forename: Daniel
authors.initials: D
authors.lastname: Tena
authors.forename: Juan Angel
authors.initials: JA
authors.lastname: Martinez-Torres
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Perez-Pomata
authors.forename: Juan Antonio
authors.initials: JA
authors.lastname: Sáez-Nieto
authors.forename: Virginia
authors.initials: V
authors.lastname: Rubio
authors.forename: Julia
authors.initials: J
authors.lastname: Bisquert
mesh_terms: D000328:Adult; D000822:Animal Husbandry; D000881:Anthrax / Q000175:diagnosis; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001407:Bacillus / Q000145:classification* / Q000187:drug effects; D001408:Bacillus anthracis / Q000302:isolation & purification; D003937:Diagnosis, Differential; D005190:Family; D006801:Humans; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects*; D035583:Rare Diseases; D017192:Skin Diseases, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D013030:Spain
chemical_list: D000900:Anti-Bacterial Agents