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Periocular cutaneous anthrax in Jimma Zone, Southwest Ethiopia: a case series.

Gelaw Y, Asaminew T - BMC Res Notes (2013)

Bottom Line: All the three patients responded to intravenous antibiotics, and the lesion resolved leaving scars which caused cicatricial ectropion in all cases.Anthrax is a rare disease but should be considered in the differential diagnosis of ulcerative (and eschar forming) preseptal cellulitis with a history of contact with anthrax-infected animals or animal products.Furthermore, cicatrization of the eyelids, one of the sequelae of periocular cutaneous anthrax, should be addressed.

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Affiliation: Department of Ophthalmology, College of Public Health and Medical Sciences, Jimma University, PO Box: 440, Jimma, Ethiopia. dryeshi@yahoo.com

ABSTRACT

Background: Anthrax is a zoonotic disease caused by Bacillus anthracis. Naturally occurring human infection is rare and is generally the result of contact with anthrax-infected animals or animal products.

Case presentation: We examined three patients who had contact with presumed anthrax-infected animal and/or its product and presented with preseptal cellulitis with a localized itchy erythematous papule of the eyelid and non-pitting periorbital edema, followed by ulceration and dark eschar formation. All the three patients responded to intravenous antibiotics, and the lesion resolved leaving scars which caused cicatricial ectropion in all cases.

Conclusion: Anthrax is a rare disease but should be considered in the differential diagnosis of ulcerative (and eschar forming) preseptal cellulitis with a history of contact with anthrax-infected animals or animal products. Furthermore, cicatrization of the eyelids, one of the sequelae of periocular cutaneous anthrax, should be addressed. Urgent case report to the local zoonotic disease and infection control body and other responsible authorities is recommended.

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Diffuse periorbital edema.
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Figure 3: Diffuse periorbital edema.

Mentions: A 25-year-old male patient from Agaro District, Jimma Zone, Ethiopia started to have small itchy red skin lesion below the left eye lid. Within 5 days the swelling progressed to involve the upper lid, cheek and lips on the left side associated with dark ulceration over the swelling on both eyelids as shown in Figure 3. There was no history of trauma or surgery but there was a history of direct contact with sick ox while giving medicine 1 week prior to the onset of his illness.


Periocular cutaneous anthrax in Jimma Zone, Southwest Ethiopia: a case series.

Gelaw Y, Asaminew T - BMC Res Notes (2013)

Diffuse periorbital edema.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750427&req=5

Figure 3: Diffuse periorbital edema.
Mentions: A 25-year-old male patient from Agaro District, Jimma Zone, Ethiopia started to have small itchy red skin lesion below the left eye lid. Within 5 days the swelling progressed to involve the upper lid, cheek and lips on the left side associated with dark ulceration over the swelling on both eyelids as shown in Figure 3. There was no history of trauma or surgery but there was a history of direct contact with sick ox while giving medicine 1 week prior to the onset of his illness.

Bottom Line: All the three patients responded to intravenous antibiotics, and the lesion resolved leaving scars which caused cicatricial ectropion in all cases.Anthrax is a rare disease but should be considered in the differential diagnosis of ulcerative (and eschar forming) preseptal cellulitis with a history of contact with anthrax-infected animals or animal products.Furthermore, cicatrization of the eyelids, one of the sequelae of periocular cutaneous anthrax, should be addressed.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Ophthalmology, College of Public Health and Medical Sciences, Jimma University, PO Box: 440, Jimma, Ethiopia. dryeshi@yahoo.com

ABSTRACT

Background: Anthrax is a zoonotic disease caused by Bacillus anthracis. Naturally occurring human infection is rare and is generally the result of contact with anthrax-infected animals or animal products.

Case presentation: We examined three patients who had contact with presumed anthrax-infected animal and/or its product and presented with preseptal cellulitis with a localized itchy erythematous papule of the eyelid and non-pitting periorbital edema, followed by ulceration and dark eschar formation. All the three patients responded to intravenous antibiotics, and the lesion resolved leaving scars which caused cicatricial ectropion in all cases.

Conclusion: Anthrax is a rare disease but should be considered in the differential diagnosis of ulcerative (and eschar forming) preseptal cellulitis with a history of contact with anthrax-infected animals or animal products. Furthermore, cicatrization of the eyelids, one of the sequelae of periocular cutaneous anthrax, should be addressed. Urgent case report to the local zoonotic disease and infection control body and other responsible authorities is recommended.

Show MeSH
Related in: MedlinePlus