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 AID  Vol.2 No.3 , September 2012
Gastrointestinal Anthrax: A Case and Review of Literature
Abstract: Anthrax which is caused by Bacillus anthracis is typically a disease of herbivores. Spores existing in the skin, meat, hair or mouth and nose of animals are transmitted to humans through contact with a break in the skin, consumption of infected meat or inhalation of spores [1]. Infected uncooked or insufficiently cooked meats cause oropharyngeal and gastrointestinal system (GIS) anthrax. When this infected materials swallowed anthrax spores may cause lesions from the oral cavity to the caecum. The diagnosis of gastrointestinal system (GIS) anthrax is difficult due to insidious clinical progression of the disease and difficulty in the isolation of agent pathogen. Releated symptoms of GIS anthrax are sore throat, neck swelling, diffuculty swallowing, stomach pain, anoreksia, bloody diarrhea, nause, bloody vomiting and fever. Supportive and antibiotic treatments are required. Benzylpenicillin, rifampicin, clindamycin, chloramphenicol, imipenem/cilastatin, or vancomycin can be use for treatment, ciprofloxacin or doxycycline may be added to this treat- ment for serious cases. To emphasize the necessity of taking precautions, an oropharyngeal and intestinal anthrax case due to consumption of infected and insufficiently cooked meat is presented below.
Cite this paper: A. Akbulut, H. Akbulut, M. Özgüler, N. İnci and Ş. Yalçın, "Gastrointestinal Anthrax: A Case and Review of Literature," Advances in Infectious Diseases, Vol. 2 No. 3, 2012, pp. 67-71. doi: 10.4236/aid.2012.23010.
References

[1]   M. Negut and D. M. Caplan, “Epidemiology Studies Regarding Anthrax Epidemic in Romania,” Bacteriologia, Virusologia, Parazitologia, Epidemiologia, Vol. 47, No. 3-4, 2002, pp. 161-165.

[2]   H. Ozdemir, K. Demirdag, T. Ozturk and E. Kocakoc, “Anthrax of the Gastrointestinal Tract and Oropharynx: CT Findings,” Emergency Radiology, Vol. 17, No. 2, 2010, pp. 161-164. doi:10.1007/s10140-009-0821-y

[3]   C. Kunanusont, K. Limpakarnjanarat and J. M. Foy, “Outbreak of Anthrax in Thailand,” Annals of Tropical Medicine and Parasitology, Vol. 84, No. 5, 1990, pp. 507-512.

[4]   D. P. Perl and J. R. Dooley, “Anthrax,” In: C. H. Binford and D. H. Connor, Eds., Pathology of Tropical and Extraordinary Diseases, Armed Forces Institute of Pathology, Washington DC, 1976, pp. 118-123.

[5]   Z. A. Kanafani, A. Ghossain, A. I. Sharara, J. M. Hatem and S. S. Kanj, “Endemic Gastrointestinal Anthrax in 1960s Lebanon: Clinical Manifestations and Surgical Findings,” Emerging Infectious Diseases, Vol. 9, No. 5, 2003, pp. 520-525. doi:10.3201/eid0905.020537

[6]   WHO, “Antrax in Humans and Animals,” 4th Edition, WHO Press, Geneva, 2008.

[7]   T. Tantajumroon and K. Panas-Ampol, “Intestinal Anthrax: Report of Two Cases,” Journal of The Medical Association of Thailand, Vol. 51, 1968, pp. 477-480.

[8]   T. Tantachumroon, “Pathologic Studies of ?ntestinal Anthrax: Report of 2 Cases,” Chiang Mai Medical Bulletin, Vol. 4, 1966, pp. 135-144.

[9]   E. Kohout, A. Sehat and A. M. Ashraf, “Anthrax: A Continuous Problem in Southwest Iran,” The American Journal of the Medical Sciences, Vol. 247, No. 3, 1964, pp. 565-575. doi:10.1097/00000441-196405000-00006

[10]   G. P. Jena, “Intestinal Anthrax in Man: A Case Report,” Central African Journal of Medicine, Vol. 26, No. 12, 1980, pp. 253-254.

[11]   Centers for Disease Control and Prevention (CDC), “Gastrointestinal Anthrax after an Animal-Hide Drumming Event—New Hampshire and Massachusetts, 2009,” Morbidity and Mortality Weekly Report, Vol. 59, No. 28, 2010, pp. 872-877.

[12]   P. Baht, D. N. Mohan and H. Srinivasa, “Intestinal Anthrax with Bacteriological ?nvestigations,” The Journal of Infectious Diseases, Vol. 152, No. 6, 1985, pp. 1357-1358.

[13]   W. Dutz, F. Saidi and E. Kohout, “Gastric Anthrax with Massive Ascites,” Gut, Vol. 11, No. 4, 1970, pp. 352-354. doi:10.1136/gut.11.4.352

[14]   A. Alizad, E. M. Ayoub and N. Makki, “Intestinal Anthrax in a Two-Year-Old Child,” The Pediatric Infectious Disease Journal, Vol. 14, No. 5, 1995, pp. 394-395. doi:10.1097/00006454-199505000-00013

[15]   T. Sirisanthana, U. Jesadaporn, “Survival of a Patient with Gastrointestinal Anthrax,” Chiang Mai Medical Bulletin, Vol. 24, No. 1, 1985,pp. 1-5.

[16]   D. R. Nalin, B. Sultana, R. Sahunja, A. K. Islam, M. A. Rahim, M. Islam, et al., “Survival of a Patient with Intestinal Anthrax,” American Journal of Medicine, Vol. 62, No. 1, 1977, pp. 130-132. doi:10.1016/0002-9343(77)90358-8

[17]   A. Ghossain, “Intestinal Anthrax,” In: T. S. Harrison, Ed., Surgery for All: A View from the Developing World, Ferozsons, Lahore, 1992, pp. 144-150.

[18]   S. Felek, A. Akbulut and A. Kalkan, “A Case of Antrax Sepsis: Non Fatal Course,” Journal of Infection, Vol. 38, No. 3, 1999, pp. 201-202. doi:10.1016/S0163-4453(99)90256-6

[19]   M. Doganay, A. Almac and R. Hanagasi, “Primary Throat Anthrax. A Report of Six Cases,” Scandinavian Journal of Infectious Diseases, Vol. 18, No. 5, 1986, pp. 415-419. doi:10.3109/00365548609032357

[20]   M. Doganay and G. Metan, “Human Anthrax in Turkey from 1990 to 2007,” Vector-Borne and Zoonotic Diseases, Vol. 9, No. 2, 2009, pp. 131-140. doi:10.1089/vbz.2008.0032

[21]   M. Doganay, “Ingestional (Oral Route/Enteric) Antrax: Is It Problem in Turkey?” Flora, Vol. 14, No. 3, 2009, pp. 97-104.

 
 
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