title: Cutaneous anthrax in an unusual location: case report.
abstract: Cutaneous anthrax is well known, unlike anthrax of the lumbar region, which is not reported elsewhere. We present a case of anthrax of the lumbar region in a 50-year-old man. The infection was characterised by a wide, black eschar and oedema on an erythematous ground. After isolation of the Gram-positive bacilli from the skin lesions, prompt antibiotic treatment (intravenous sulbactam-ampicillin 1.5 g every six hours) was initiated. Following eradication of the bacilli after 14 days of antibiotic treatment, a split-thickness skin graft was applied. A diagnosis of anthrax depends on clinical suspicion. Early diagnosis, antibiotic and surgical treatment can facilitate the treatment and prevent development of complications.
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, Buldan Chest Diseases Hospital, Buldan/Denizli, Turkey.
authors.forename: Tugba
authors.initials: T
authors.lastname: Sari
authors.affiliation: Department of Infectious Diseases and Clinical Microbiology, School of Medicine, Koç University, Istanbul, Turkey.
authors.forename: Suda Tekin
authors.initials: ST
authors.lastname: Koruk
mesh_terms: D000667:Ampicillin / Q000008:administration & dosage*; D000881:Anthrax / Q000188:drug therapy* / Q000473:pathology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D006801:Humans; D007260:Infusion Pumps; D008161:Lumbosacral Region / Q000473:pathology; D008297:Male; D008875:Middle Aged; D017192:Skin Diseases, Bacterial / Q000188:drug therapy* / Q000473:pathology*; D013407:Sulbactam / Q000008:administration & dosage*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000667:Ampicillin; D013407:Sulbactam