title: Retrospective review of the case of cutaneous anthrax-malignant pustule from 1995 in 15-year old girl.
abstract: A 15-year-old girl was admitted to our Department with cutaneous lesion resembling black eschar. Anamnesis revealed that before getting ill she was wearing pullover made of rough sheep's wool and ornaments made of leather like straps. Cutaneous anthrax was confirmed by identification of B. anthracis in specimens from weeping ulceration, culture from black eschar, thermoprecipitation test, and bioassay on guinea pig. The girl was treated with crystalline Penicillin. She responded well to the therapy and recovered after 28 days. What attracts attention in presented case is the fact that the girl didn't belong to high risk group of human anthrax, which might lead to misdiagnosis. In 1990-1999, Poland there were reported 22 cases of anthrax - it was almost exclusively cutaneous form. In the years following 1999 antrax was reported even less often - in the period 1991-2013 it was recorded a total of 26 cutaneous anthrax cases.
authors.affiliation: Department of Zoonoses and Tropical Diseases, Medical University of Warsaw, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Kajfasz
authors.affiliation: Biological Threats Identification and Coutermeasure Center of Military Institute of Hygiene and Epidemiology, Puławy, Poland.
authors.forename: Michał
authors.initials: M
authors.lastname: Bartoszcze
authors.affiliation: Department of Zoonoses and Tropical Diseases, Medical University of Warsaw, Poland.
authors.forename: Piotr Karol
authors.initials: PK
authors.lastname: Borkowski
authors.affiliation: Department of Zoonoses and Tropical Diseases, Medical University of Warsaw, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Basiak
mesh_terms: D000293:Adolescent; D000881:Anthrax / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001408:Bacillus anthracis / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D010406:Penicillins / Q000627:therapeutic use; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000188:drug therapy*
chemical_list: D000900:Anti-Bacterial Agents; D010406:Penicillins