inhalation anthrax…

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inhalation anthrax, bacteria, respiratory system, anthrax, inhalation, inhalation, respiratory anthrax, infectious disease, breathing, in the spores, the bacteria bacillus anthracis, anthrax commonly affects hoofed animals sheep, goats, humans can get sick from anthrax, too, historically, main risk factor, getting anthrax was some type of contact, contaminated animal hides, hair, bone products, wool, inhalation anthrax was most commonly contracted, workers breathed in airborne anthrax spores, were released during industrial processes tanning hides, processing wool, breathing in spores means a person has been exposed, doesn't mean they'll get symptoms, bacteria spores must "germinate", sprout, same way a seed might, a flower grows, before the actual disease occurs, process can take up to 60 days, antibiotic therapy following known, suspected exposure, prevent the disease, once the spores germinate, release of several toxic substances, toxins, which cause internal bleeding, swelling, tissue death, main form of inhalational anthrax is marked by a bloody infection, the lymph nodes, in the chest, a condition, hemorrhagic mediastinitis, up to half of affected individuals, hemorrhagic meningitis, two stages of inhalation anthrax, stage one, last from hours to a few days, resemble a cold, flu, include fever, headache, cough, shortness of breath, chest pain, stage two often develops suddenly, fatal, 90% of individuals, due to a build up of toxins, shock typically occurs, initial stage, fever, chills, sweating, fatigue, malaise, headache, cough, shortness of breath, chest pain, second stage, fever, severe shortness of breath, shock, list of symptoms, a relatively small number of people, had inhalation anthrax, additional symptoms present, the symptoms listed absent, inhalation anthrax is suspected, a chest x-ray, blood cultures, sputum cultures obtained, initial chest x-rays, likely to show abnormalities fluid surrounding the lungs, abnormally wide space between the lungs, samples, sent to a special lab, more definitive testing, pcr, immunoflourescence, immunohistochemistry, a spinal tap, csf culture, a gram stain also performed, several antibiotics, effective against anthrax including penicillin, doxycycline, ciprofloxacin, cipro, inhalation anthrax, treated with ciprofloxacin plus another antibiotic agent, length of treatment is currently, 60 days, individuals exposed to anthrax, since it, take spores that long to germinate, prognosis of inhalation anthrax once it reaches the second stage is poor, antibiotic therapy, up to 90% of cases, in the second stage, fatal, hemorrhagic meningitis, mediastinitis, shock, ards, adult respiratory distress syndrome, have been exposed to anthrax, not develop symptoms, determine whether need treatment, 've developed symptoms, preventative antibiotics, two primary modes of prevention of anthrax, vaccination has been developed, 6-dose series, vaccine is available, select, military personnel, not the general public, , individuals, been truly exposed to anthrax, have no signs, preventive antibiotics offered, ciprofloxacin, cipro, penicillin, doxycycline, depending on the particular strain of anthrax, no known transmission of anthrax from person to person, people living, individuals, 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.160, 287, 2236-2252.