First Autochthonous Coinfected Anthrax in an Immunocompetent Patient

First Autochthonous Coinfected Anthrax in an Immunocompetent Patient Publisher

Afshar P¹ ; Hedayati MT² ; Aslani N³ ; Khodavaisy S^{4, 5} ; Babamahmoodi F⁶ ; Mahdavi MR⁷ ; Dolatabadi S^{8, 9} ; Badali H¹⁰

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1. Referral Laboratory, Mazandaran University of Medical Sciences, Sari, Iran
2. Invasive Fungi Research Center, Department of Medical Mycology and Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
3. Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran
4. Department of Medical Mycology and Parasitology, Kurdistan University of Medical Sciences, Sanandaj, Iran
5. Department of Medical Mycology and Parasitology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
6. Antimicrobial Resistance Research Center, Department of Infectious Diseases, Mazandaran University of Medical Sciences, Sari, Iran
7. Mazandaran University of Medical Sciences, Sari, Iran
8. CBS-KNAW Fungal Biodiversity Centre, Utrecht, Netherlands
9. Cellular and Molecular Research Center, Sabzevar University of Medical Sciences, Sabzevar, Iran
10. Pharmaceutical Sciences Research Center, Department of Medical Mycology and Parasitology, School of Medicine, Mazandaran University of Medical Sciences, P.O. Box 48175-1665, Sari, Iran

Source: Case Reports in Medicine Published:2015

Abstract

Cutaneous anthrax has a mortality rate of 20% if no antibacterial treatment is applied. The clinical manifestations of cutaneous anthrax are obviously striking, but coinfection may produce atypical lesions and mask the clinical manifestations and proper laboratory diagnosis. Anthrax is known to be more common in the Middle East and Iran is one of the countries in which the zoonotic form of anthrax may still be encountered. We report a case of a 19-years-old male who used to apply Venetian ceruse on his skin. Venetian ceruse (also known as Spirits of Saturn) is an old cosmetic product used for skin whitening traditionally made from sheep's spinal cord. The patient referred to the Referral Laboratory, Mazandaran University of Medical Sciences, Sari, Iran, with atypical dermatosis, pronounced pain, and oedema of the affected tissue. It was confirmed by both conventional and molecular analysis that culture was a mixture of Bacillus anthracis and Trichophyton interdigitale. The patient was initially treated with ceftriaxone (1000 mg/day for two weeks), gentamicin (1.5-2 mg/kg/day), terbinafine (200 mg/week for one month), and 1% clotrimazole cream (5 weeks) two times per day which resulted in gradual improvement. No relapse could be detected after one-year follow-up. Anthrax infection might present a broader spectrum of symptoms than expected by clinicians. These unfamiliar characteristics may lead to delayed diagnosis, inadequate treatment, and higher mortality rate. Clinicians need to be aware of this issue in order to have successful management over this infection. © 2015 Parvaneh Afshar et al.

Style	Citing Format
MLA	Afshar P, et al.. "First Autochthonous Coinfected Anthrax in an Immunocompetent Patient." Case Reports in Medicine, vol. 2015, no. , 2015, pp. -.
APA	Afshar P, Hedayati MT, Aslani N, Khodavaisy S, Babamahmoodi F, Mahdavi MR, Dolatabadi S, Badali H (2015). First Autochthonous Coinfected Anthrax in an Immunocompetent Patient. Case Reports in Medicine, 2015(), -.
Chicago	Afshar P, Hedayati MT, Aslani N, Khodavaisy S, Babamahmoodi F, Mahdavi MR, Dolatabadi S, Badali H. "First Autochthonous Coinfected Anthrax in an Immunocompetent Patient." Case Reports in Medicine 2015, no. (2015): -.
Harvard	Afshar P et al. (2015) 'First Autochthonous Coinfected Anthrax in an Immunocompetent Patient', Case Reports in Medicine, 2015(), pp. -.
Vancouver	Afshar P, Hedayati MT, Aslani N, Khodavaisy S, Babamahmoodi F, Mahdavi MR, et al.. First Autochthonous Coinfected Anthrax in an Immunocompetent Patient. Case Reports in Medicine. 2015;2015():-.
BibTex	@article{ author = {Afshar P and Hedayati MT and Aslani N and Khodavaisy S and Babamahmoodi F and Mahdavi MR and Dolatabadi S and Badali H}, title = {First Autochthonous Coinfected Anthrax in an Immunocompetent Patient}, journal = {Case Reports in Medicine}, volume = {2015}, number = {}, pages = {-}, year = {2015} }
RIS	TY - JOUR AU - Afshar P AU - Hedayati MT AU - Aslani N AU - Khodavaisy S AU - Babamahmoodi F AU - Mahdavi MR AU - Dolatabadi S AU - Badali H TI - First Autochthonous Coinfected Anthrax in an Immunocompetent Patient JO - Case Reports in Medicine VL - 2015 IS - SP - EP - PY - 2015 ER -

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Abstract