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A case of cutaneous anthrax in a 71-year-old man, presenting as a blackish wound after handling a cow, was successfully treated with amoxicillin. Early diagnosis and prompt management are key for effective treatment of this bacterial infection.

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animalanthraxhuman

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Area of Science:

  • Infectious Diseases
  • Bacteriology
  • Dermatology

Background:

  • Cutaneous anthrax is a serious infection caused by Bacillus anthracis.
  • Occupational exposure, such as handling infected animals, is a common route of transmission.
  • Early recognition and treatment are vital to prevent severe complications.

Purpose of the Study:

  • To report a case of cutaneous anthrax with a characteristic eschar.
  • To highlight the diagnostic process, including clinical, serological, and microbiological findings.
  • To emphasize the effectiveness of prompt antibiotic treatment.

Main Methods:

  • Clinical presentation of a 71-year-old male with a blackish wound after contact with cattle.
  • Diagnostic workup included physical examination, serological testing for anti-anthrax protective antigen (anti-PA) IgG, and Gram staining.
  • Microbiological culture of tissue sample for Bacillus anthracis identification.
  • Treatment with oral amoxicillin.

Main Results:

  • The patient presented with a solitary ulcer covered by a blackish eschar, consistent with cutaneous anthrax.
  • Serological tests were positive for anti-PA IgG, and Gram staining revealed Gram-positive rods.
  • Bacillus anthracis was confirmed by microbiological culture.
  • Treatment with amoxicillin resulted in significant wound healing and complete eschar resolution within 10 days.

Conclusions:

  • Cutaneous anthrax should be considered in individuals with compatible exposure history and characteristic skin lesions.
  • Integrated diagnostic approaches, combining clinical suspicion with laboratory confirmation, are essential.
  • Amoxicillin is an effective treatment for cutaneous anthrax, leading to favorable outcomes when administered promptly.