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Case Reports in Infectious Diseases
Volume 2015, Article ID 875829, 2 pages
http://dx.doi.org/10.1155/2015/875829
Case Report

A Case of Fatal Gastrointestinal Anthrax in North Eastern Iran

1Department of Infectious Diseases, Emam Reza Hospital, North Khorasan University of Medical Sciences, Bojnurd 74877-94149, Iran
2Department of Pathobiology and Anatomy, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd 74877-94149, Iran
3Medical Diagnostic Laboratory, Emam Reza Hospital, North Khorasan University of Medical Sciences, Bojnurd 74877-94149, Iran

Received 21 November 2014; Revised 11 February 2015; Accepted 19 February 2015

Academic Editor: Lawrence Yamuah

Copyright © 2015 Seyed Ahmad Hashemi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Bacillus species are aerobic or facultative anaerobic, gram-positive, or gram-variable spore-forming rods. They are ubiquitous in the environmental sources. Bacillus anthracis may usually cause three forms of anthrax: inhalation, gastrointestinal, and cutaneous. The gastrointestinal (GI) anthrax develops after eating contaminated meat. In this paper we report septic intestinal anthrax. Case Presentation. We report an isolation of Bacillus anthracis from blood culture of patient with intestinal anthrax. Bacillus anthracis was isolated from a blood culture of a 34-year-old man who had a history of severe abdominal pain, bloody diarrhea, nausea, vomiting, fever, sweating, and lethargy within 4 to 5 days after eating the meat of domestic goat. He had evidence of severe infection and septic shock and did not respond to treatments and subsequently expired 9 hours after hospitalization. Conclusion. Gastrointestinal anthrax is characterized by rapid onset, fever, and septicemia. Rapid diagnosis and prompt initiation of antibiotic therapy can help in survival. Most of previous cases of septicemic anthrax were related to injection drug users but, in our case, septicemia occurred after gastrointestinal anthrax.