cutaneous anthrax…

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cutaneous anthrax, cutaneous anthrax, skin layers, anthrax, skin, cutaneous anthrax, infection, the skin, direct contact, the bacteria bacillus anthracis, anthrax, bacteria bacillus anthracis, anthrax commonly affects hoofed animals sheep, goats, humans, get sick from anthrax, too, most common type of anthrax infection is cutaneous anthrax, an infection, the skin, cutaneous infections account, 95% of all anthrax cases worldwide, cutaneous anthrax occurs, bacteria touches a cut, scrape on the skin, after about two weeks, an itchy sore develops, similar to an insect bite, this sore, blister, form a black ulcer, painless, surrounded by significant swelling, a scar often develops, and then dries, falls off, two weeks, patients have painful lymph nodes, in some cases, infection, spread, the bloodstream, become fatal, death is extremely rare, in the majority of individuals who receive prompt, appropriate treatment, historically, main risk factor, acquiring cutaneous anthrax is contact, animal hides, hair, bone products, wool, contact, infected animals, most at risk, anthrax include farm workers, veterinarians, tannery, wool workers, anthrax, potential agent, a biological weapon, bio-terrorism, in 2001, bioterrorist activities involving the, postal service infected 22 people, anthrax, 7 survivors, cutaneous anthrax disease, at least 17 nations, a biological weapons program, unknown how many nations, groups, working, anthrax, most bio-terrorism experts, technologically difficult, use anthrax effectively, a weapon on a large scale, blister, ulcer that later forms a black scab, extensive surrounding swelling, a few patients, experience fever, headache, malaise, swollen, painful lymph nodes, cutaneous anthrax is suspected, a culture, the skin lesions, identify the bacteria that causes, anthrax, cutaneous anthrax is treated, oral antibiotics, pills, several antibiotics, penicillin, doxycycline, ciprofloxacin, cipro, cipro has been the antibiotic of choice, a suspected anthrax outbreak, anthrax spores, take up to 60 days to germinate, length of treatment, 60 days, prognosis of treated cutaneous anthrax is excellent, death is extremely rare, antibiotics, promptly given, 20% of untreated cases of cutaneous anthrax, organism, spread, bloodstream, shock, death, exposed to anthrax, if develop a skin lesion, two primary modes of prevention of anthrax, individuals, been truly exposed to anthrax, have no signs, preventive antibiotics offered, ciprofloxacin, penicillin, doxycycline, depending on the particular strain of anthrax, an anthrax vaccine is available, selected military personnel, general public, 6-dose series, no known transmission of cutaneous anthrax from person to person, household contacts of individuals, cutaneous anthrax, not need antibiotics, also been exposed, same source of anthrax, reissman db, whitney ea, taylor th jr, et al, one-year health assessment of adult survivors of bacillus anthracis infection, jama, 291, 1994-1998, inglesby tv, o'toole t, henderson da, et al, anthrax, a biological weapon, jama, 2002, 287, 2236-2252.