title: Unusual cause of fatal anthrax meningitis.
abstract: We report the case of fatal anthrax meningoencephalitis in the province of Muş located in eastern Anatolia, Turkey. The organism isolated from cerebrospinal fluid was identified as Bacillus anthracis. The patient was treated with crystallized penicillin G (24 MU/day IV) and ciprofloxacin (2 × 400/day IV), but died 5 days after hospitalization. Although it is a rare case, we consider that the patients who have skin, respiratory and neurological systems might also have hemorrhagic meningitis.
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Atatürk University , Erzurum , Turkey and.
authors.forename: Emine
authors.initials: E
authors.lastname: Parlak
authors.forename: Mehmet
authors.initials: M
authors.lastname: Parlak
authors.forename: Seval Bilgiç
authors.initials: SB
authors.lastname: Atli
mesh_terms: D000881:Anthrax / Q000175:diagnosis* / Q000188:drug therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008581:Meningitis / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D014421:Turkey
chemical_list: D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin; D010400:Penicillin G
keywords: Anthrax; Bacillus anthracis; cutaneous anthrax; hemorrhagic meningitis; intraparenchymal hemorrhage