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A rare clinical presentation and outcome of cutaneous anthrax: toxemic shock: case report.

Clinical presentation of cutaneous anthrax may be severe and complicated in some cases. Twenty-two cases with cutaneous anthrax were monitored between 2002 and 2008; of those two cases had toxemic shock. The lesion was localized on the anterior neck in the first case and on the right arm in the seco...

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Published in:Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 3; pp. 841 - 846
Main Authors: Doganay, Mehmet, Metan, Gökhan
Format: case study pictorial tables/charts Journal Article
Published: Turkiye Klinikleri Jun2012
Online Access:View this record in EBSCOhost
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      dt: Jun2012
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      pub: Turkiye Klinikleri
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        atl: A rare clinical presentation and outcome of cutaneous anthrax: toxemic shock: case report.
      aug:
        au:
          Doganay, Mehmet
          Metan, Gökhan
      sug:
        subj:
          Anthrax Complications
          Skin Pathology
          Toxic Shock Syndrome
          Adult
          Male
          Adult: 19-44 years
          Male
      ab: Clinical presentation of cutaneous anthrax may be severe and complicated in some cases. Twenty-two cases with cutaneous anthrax were monitored between 2002 and 2008; of those two cases had toxemic shock. The lesion was localized on the anterior neck in the first case and on the right arm in the second case. In addition, both cases had an extensive edema extending from the lesion to the chest. Low systolic blood pressure (<90 mmHg), apathy and toxemic appearance, leukocytosis, hypoalbuminemia and hyponatremia were common findings in both cases. Intravenous fluid, fresh plasma replacement and penicillin G therapy were administered. One case required dopamine infusion for the restoration of shock. Crusts and other necrotic tissues on the right arm in the second case were removed surgically and were grafted. Toxemic shock is a rare complication of cutaneous anthrax and it is life threatening. Physicians working in the endemic area should be aware of this severe form.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        tables/charts
        Journal Article
      ougenre: Article
    language: Turkish
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