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inhalation anthrax
see also anthrax
Clinical manifestations:
- incubation of 1-60 days
- malaise, myalgias
- cough, dyspnea, chest pain
Radiology:
- chest X-ray: widened mediastinum
Management:
- ciprofloxacin, levofloxacin, moxifloxacin or doxycycline plus at least one additional agent (penicillin, ampicillin, meropenem, clindamycin, linezolid, rifampin, vancomycin or clarithromycin) for 60 days
- prophylaxis with ciprofloxcin, levofloxacin, moxifloxacin or doxycycline
- consider raxibacumab, obiltoxaximab or IV anthrax immune globulin
Notes:
- even a single case of inhalation anthrax should raise suspicion of bioterrorism
Related
Bacillus anthracis
General
anthrax (woolsorter's disease)
bacterial pneumonia
References
- Medical Knowledge Self Assessment Program (MKSAP) 17, 18,
American College of Physicians, Philadelphia 2015, 2018