Cutaneous anthrax in Southeast Anatolia of Turkey

dc.contributor.authorTekin, Recep
dc.contributor.authorSula, Bilal
dc.contributor.authorDeveci, Ozcan
dc.contributor.authorTekin, Alicem
dc.contributor.authorBozkurt, Fatma
dc.contributor.authorUcmak, Derya
dc.contributor.authorKaya, Safak
dc.date.accessioned2024-04-24T17:20:36Z
dc.date.available2024-04-24T17:20:36Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractContext: Anthrax is a rare disease cause by Bacillus anthracis, a Gram-positive, rod-shaped endospore-forming capsuled bacterium. Anthrax is manifest in three primary forms: cutaneous, respiratory, and gastrointestinal. Cutaneous anthrax accounts for approximately 95% of all cases of anthrax in humans. Objective: In the present study, we evaluated the clinical diagnosis and treatment of cutaneous anthrax, a rare disease that nonetheless remains a serious healthcare problem in developing countries. Methods: The complete medical records of patients diagnosed with cutaneous anthrax between January 2001 and December 2012 were examined in a retrospective manner. Cutaneous anthrax was diagnosed by the identification of typical antrax lesions and/or the presence of Gram-positive-capsuled bacillus after staining with Gram stain and methylen blue in pathology samples obtained from these lesions and the presence of characteristic scarring with a history of severe swelling, black eschar, and positive response to treatment form the basis of diagnosis in cases where cultures were negative for the presence of bacillus. Results: A total of 58 patients were admitted to the hospital with cutaneous anthrax between January 2001 and December 2012. This included 32 (55.2%) males and 26 (44.8%) females, with an age range of 15-82 years and a mean age of 38 +/- 13.8 years. The incubation period for the infection ranged between 1 and 20 d (mean 3.7 +/- 1.4 d). The most common symptoms at the time of hospital referral were swelling, redness, and black eschar of the skin. The most common lesion site was the hand and fingers (41.3%). Isolated of bacteria was used to diagnose the disease in six cases (23.8%), detection of Gram-positive bacillus in samples of characteristic lesion material was used in seven (28.5%) cases, and the presence of a characteristic lesion was the sole diagnositc criteria in 45 (77.6%) cases. Treatment consisted of penicillin G (12 cases), ampicillin-sulbactam (30 cases), Cefazolin (12 cases), or ciprofloxacin (4 cases). Conclusion: Although the prevalence of anthrax is a decreasing worldwide, it remains a significant problem in developing countries. Rapid identification of the signs and symptoms of cutaneous anthrax is essential for effective treatment. Early supportive treatment and appropriate antimicrobial measures are necessary to address this potentially life-threatening disease.en_US
dc.identifier.doi10.3109/15569527.2014.880844
dc.identifier.endpage11en_US
dc.identifier.issn1556-9527
dc.identifier.issn1556-9535
dc.identifier.issue1en_US
dc.identifier.pmid24678748
dc.identifier.scopus2-s2.0-84925337499
dc.identifier.scopusqualityQ3
dc.identifier.startpage7en_US
dc.identifier.urihttps://doi.org/10.3109/15569527.2014.880844
dc.identifier.urihttps://hdl.handle.net/11468/19153
dc.identifier.volume34en_US
dc.identifier.wosWOS:000351309900002
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofCutaneous and Ocular Toxicology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnthraxen_US
dc.subjectComplicationsen_US
dc.subjectCutaneousen_US
dc.subjectTreatmenten_US
dc.titleCutaneous anthrax in Southeast Anatolia of Turkeyen_US
dc.titleCutaneous anthrax in Southeast Anatolia of Turkey
dc.typeArticleen_US

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