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Indigenous human cutaneous anthrax in Texas

J P Taylor1, D C Dimmitt, J W Ezzell

  • 1Epidemiology Division, Texas Department of Health, Austin 78756.

Southern Medical Journal
|January 1, 1993
PubMed
Summary

A Texas sheep shearer contracted cutaneous anthrax, the first indigenous case in over 20 years. Prompt penicillin treatment led to a full recovery, confirmed by antibody testing for Bacillus anthracis.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Public Health

Background:

  • Anthrax is a serious infectious disease caused by Bacillus anthracis.
  • Indigenous cases are rare in the United States, with the last reported in Texas over two decades ago.

Observation:

  • A 63-year-old male sheep shearer in southwest Texas presented with symptoms of cutaneous anthrax.
  • The patient developed a necrotic lesion, edema, and lymphadenopathy on his left forearm after handling deceased sheep.

Findings:

  • The patient received prompt treatment with oral and intravenous penicillins.
  • Western blot confirmed a significant rise in antibodies against Bacillus anthracis protective antigen and lethal factor.
  • The patient made a complete recovery from the infection.

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Implications:

  • This case highlights the continued risk of indigenous anthrax in certain occupational settings.
  • It underscores the importance of timely diagnosis and treatment for cutaneous anthrax.
  • Surveillance and awareness are crucial for preventing future outbreaks in Texas.