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[Anthrax meningitis].

U N Dürst, J Bartenstein, H Bühlmann

Schweizerische Medizinische Wochenschrift

|September 6, 1986

Summary

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Anthrax meningitis is a rare but severe complication of anthrax infection, occurring in less than 5% of cases. This report details a fatal case of inhalation anthrax with meningeal involvement in Switzerland.

Area of Science:

Infectious Diseases
Neurology
Public Health

Background:

Anthrax meningitis is a rare complication of Bacillus anthracis infection, affecting less than 5% of patients.
Human anthrax cases in Switzerland between 1935 and 1985 totaled 60.
Meningeal complications, particularly with cortical hemorrhages, are exceptionally infrequent.

Observation:

A fatal case of anthrax meningitis in a 54-year-old woman is reported.
This represents the third documented case of inhalation anthrax in Switzerland.
It is the second reported case of meningeal complication with cortical hemorrhages in the country.

Findings:

The patient presented with clinical, microbiological, and histopathological findings consistent with anthrax meningitis.

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No identifiable source of infection was determined for this case.

The case highlights the severe neurological sequelae and poor prognosis associated with anthrax meningitis.

Implications:

This case underscores the importance of recognizing and diagnosing anthrax meningitis, despite its rarity.
It emphasizes the need for prompt and appropriate therapeutic interventions for severe anthrax infections.
Public health surveillance for anthrax remains crucial, especially in identifying potential sources of infection.