Extensive cutaneous anthrax in an immunocompetent patient.
Bacillus anthracis disease constitutes an extremely important worldwide epidemiological problem. Interest in cutaneous anthrax resides in its skin manifestations, course, diagnostic methods and management. An extensive cutaneous anthrax of the whole left upper arm, accompanied by lymphadenopathy and high fever, in a 60 year-old male patient, a shepherd by profession, is reported. He was treated effectively by intravenously administered ciprofloxacin and clindamycin. In the event of clinical suspicion of cutaneous anthrax, the patient has to be treated by the recommended regimen of antibiotics because of the possibility of evolvution to an extensive or severe systemic disease, even in the absence of immuno-depressant factors.
University Dept of Dermatology, Faculty of Medicine. Democritus University of Thrace, Greece. karpouzis@bitservices.gr
Anthony
A
Karpouzis
Maria
M
Panopoulou
Grazia
G
Bazzano
Anastassia
A
Grapsa
Efstratios
E
Maltezos
Sofia
S
Ktenidou-Kartali
Constantin
C
Kouskoukis
D000881:Anthrax / Q000188:drug therapy / Q000473:pathology*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001408:Bacillus anthracis / Q000302:isolation & purification*; D002939:Ciprofloxacin / Q000008:administration & dosage; D002981:Clindamycin / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D006801:Humans; D007121:Immunocompetence; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D017192:Skin Diseases, Bacterial / Q000188:drug therapy / Q000473:pathology*
D000900:Anti-Bacterial Agents; D002981:Clindamycin; D002939:Ciprofloxacin