Anthrax: Difference between revisions
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##Silicosis | ##Silicosis | ||
##Sarcoidosis | ##Sarcoidosis | ||
{{Lower respiratory zoonotic infections}} | |||
==Imaging== | ==Imaging== |
Revision as of 16:49, 23 November 2014
Background
- Gm positive rod, tough spores
- Inhalational Anthrax: Russian accident at Sverdlovsk
- Incubation Period is 10 days
- No one < 24 died
Differential Diagnosis
- Cutaneous (painless)
- Inhalational
- Acute bacterial mediastinitis
- Mycoplasma
- Legionnaire's
- Psittacosis
- Tularemia
- Q fever (Coxiella burnetti)
- Viral pneumonia
- Histoplasmosis
- Coccidiomycosis
- Ruptured Aortic Dissection
- SVC syndrome
- Silicosis
- Sarcoidosis
Lower Respiratory Zoonotic Infections
- Psittacosis
- Anthrax (Bacillus anthracis)
- Brucellosis (Brucella species)
- Q fever (C. burnetti)
- Pasteurellosis (Pasteurella multocida)
- Melioidosis (Burkholderia pseudomallei)
- Rocky Mountain Spotted Fever (R. rickettsii)
- Pulmonic Plague (Yersinia pestis)
- Influenza A
- Hantavirus
Imaging
CXR/CT- Widened mediastinum representing hemorrhagic mediastinitis
Treatment
- Cipro 500 mg bid or 30 mg/kg div q12
- (Peds)-20-30mg/kg IV q12h
- Levo 500 mg qd
- Doxycycline 100 mg bid
- (Peds) 2.5mg/kg IV q12h
- x 60 days
PLUS vaccine: inactivated, cell-free immediately, 2 wks and then 4 wks
Prophylaxis
- Cipro (Adult)-500mg PO BID
- (Peds)-20-30mg/kg/d PO BID
- Doxy (Adult) 100mgPO BID
- (Peds) 2.5mg/kg PO BID