Abstract
Three cases of cutaneous anthrax are reported which occurred in a farming family in northern Italy. Epidemiological studies revealed contact with an infected cow (delivery of a stillborn fetus and slaughter). The cow was slaughtered soon after the delivery; cultures of carcass specimens yielded growth ofBacillus anthracis. The origin of the animal infection was not known. Serum samples were obtained from all 11 members of the family group and randomly from 10 of the 75 cows on the farm, which appeared to be in good health. Tests for antibodies against protective antigen and lethal factor using EIA and Western blot techniques were positive in three subjects (in paired sera) with cutaneous anthrax and in one subject who neither had had direct contact with the infected cow nor showed any sign of anthrax.
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References
Brachmann PS Anthrax. In: Warren KS, Mahmoud AAF (ed): Tropical and geographical medicine. McGraw Hill, New York, 1990, p. 877–881.
World Health Organization Anthrax. Human cutaneous anthrax-a case report. Weekly Epidemiological Record 1991, 34: 254–255.
Whitford HW Incidence of anthrax in the USA: 1945–1988. Salisbury Medical Bulletin 1990, 68, Supplement: 5–7.
Turnbull PCB, Stuart FA, Barrett NJ, Melling J Anthrax in the UK. Salisbury Medical Bulletin 1990, 68, Supplement: 4–5.
Harrison LH, Ezzell JW, Abshire TG, Kidds S, Kaufmann AF Evaluation of serologic tests for diagnosis of anthrax after an outbreak of cutaneous anthrax in Paraguay. Journal of Infectious Diseases 1989, 164: 706–710.
Kleine-Albers C, Honicke E, Bohm R, Pfisterer RM The detection of antibodies against the protective antigen ofBacillus anthracis in infected persons by enzyme immunoassay. Salisbury Medical Bulletin 1990, 68, Supplement: 75–76.
Sirisanthana T, Nelson KE, Ezzell JW, Abshire TG Serological studies of patients with cutaneous and oropharyngeal anthrax from northern Thailand. American Journal of Tropical Medicine and Hygiene 1988, 39: 575–581.
Dogany M, Aydn N Antimicrobial susceptibility ofBacillus anthracis. Scandinavian Journal of Infectious Diseases 1991, 23: 333–335.
Lightfoot NF, Scott RJD, Turnbull PCB Antimicrobial susceptibility ofBacillus anthracis. Salisbury Medical Bulletin 1990, 68, Supplement: 95–98.
Kaufmann AF Observation on the occurrence of anthrax as related to soil type and rainfall. Salisbury Medical Bulletin 1990, 68, Supplement: 16–17.
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de Lalla, F., Ezzell, J.W., Pellizzer, G. et al. Familial outbreak of agricultural anthrax in an area of Northern Italy. Eur. J. Clin. Microbiol. Infect. Dis. 11, 839–842 (1992). https://doi.org/10.1007/BF01960887
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DOI: https://doi.org/10.1007/BF01960887