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Anthrax
Diagnosis -
The patient's occupation with hides wool hair or
animals should lead one to considert he possibility as should also the recent
purchase of a cheap shaving brush. The diagnosis is confirmed by the finding of
anthrax bacilli in the lesion which however is not always easy. In the absence
of treatment death may occur in-3-5 days but mild cases which recover
spontaneously are sometimes seen.
Treament -
Treament is by penicillin one million units on
admission followed by a Quarter of a million
units six-hourly for seven days. Or
aureomycin may be given by mouth 500 mgm. six-hourly for three days followed by
250mgm. six-hourly for four days. The pustule should not be excised. The
disease usually appears among those engaged in occupations where the hazard is
foreseeable. Since a safe and effective means of immunization is now available
in the form of a vaccine adequate protection should always be given to all
those at risk.
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