With the aim of helping physicians recognize the signs of inhalational anthrax, doctors who treated the Florida man who died of the disease in early October have released a report on his illness symptoms.
The report may also help calm the nerves of the public as the flu and cold season begins, according to its lead author. None of the recent cases of inhalational anthrax have caused symptoms that are common in the fall and winter such as runny nose, sore throat and congestion, Dr. Larry M. Bush of Atlantis Medical Center in Fort Lauderdale, Florida, told Reuters Health.
In a report in the November 29th issue of The New England Journal of Medicine, Bush and colleagues describe the case of Robert Stevens, 63, who developed the first case of inhalational anthrax in the US since 1978. He was a photo editor at American Media Inc., a tabloid newspaper publisher that was later found to have received an anthrax-laced letter at its office.
On October 2nd, the patient and his wife went to the hospital after he woke up with fever, vomiting and confusion. For the preceding 4 days, the man had experienced fever, muscle pain and general malaise--a vague feeling of bodily discomfort. However, he had no upper respiratory symptoms, such as a runny nose or sore throat.
Doctors suspected that Stevens might have had bacterial meningitis, so they gave him two antibiotics used to treat the illness.
Bush and his colleagues first suspected inhalational anthrax when they reviewed the results of several tests taken when the man was admitted to the hospital.
A chest x-ray showed that the man had a widened mediastinum, the space in the chest behind the sternum (breastbone) between the lungs, which is a tell-tale sign of inhalational anthrax. Testing of the man's spinal fluid showed that it was cloudy and contained many large bacteria that could have been anthrax.
At this time, the doctors began treating the patient with high doses of a type of penicillin that is used to treat anthrax infection.
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