A Case of Fatal Gastrointestinal Anthrax in North Eastern Iran

Autor: Sara Nojumi, Majid Ghafouri, Seyed Ahmad Hashemi, Saghar Safamanesh, Tahereh Garivani, Amir Azimian
Rok vydání: 2015
Předmět:
Zdroj: Case Reports in Infectious Diseases
Case Reports in Infectious Diseases, Vol 2015 (2015)
ISSN: 2090-6633
2090-6625
DOI: 10.1155/2015/875829
Popis: Background. Bacillusspecies are aerobic or facultative anaerobic, gram-positive, or gram-variable spore-forming rods. They are ubiquitous in the environmental sources.Bacillus anthracismay usually cause three forms of anthrax: inhalation, gastrointestinal, and cutaneous. The gastrointestinal (GI) anthrax develops after eating contaminated meat. In this paper we report septic intestinal anthrax.Case Presentation. We report an isolation ofBacillus anthracisfrom blood culture of patient with intestinal anthrax.Bacillus anthraciswas isolated from a blood culture of a 34-year-old man who had a history of severe abdominal pain, bloody diarrhea, nausea, vomiting, fever, sweating, and lethargy within 4 to 5 days after eating the meat of domestic goat. He had evidence of severe infection and septic shock and did not respond to treatments and subsequently expired 9 hours after hospitalization.Conclusion. Gastrointestinal anthrax is characterized by rapid onset, fever, and septicemia. Rapid diagnosis and prompt initiation of antibiotic therapy can help in survival. Most of previous cases of septicemic anthrax were related to injection drug users but, in our case, septicemia occurred after gastrointestinal anthrax.
Databáze: OpenAIRE