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Abstract - A Small Cutaneous Anthrax Epidemic in Eastern Turkey
Umut Gülaçtı, Cemal Üstün, Mehmet Özgür Erdoğan

A Small Cutaneous Anthrax Epidemic in Eastern Turkey

Umut Gülaçtı1, Cemal Üstün2, Mehmet Özgür Erdoğan3

1 Elazig Harput General Hospital, Department of Emergency Medicine, Elazığ, Turkey

2 Elazığ Harput General Hospital, Department of Infectious Diseases and Clinical Microbiology, Elazığ-Turkey

3 Ministry of Health Haydarpasa Numune Training and Research Hospital, Depart. of Emergency Medicine, İstanbul-Turkey


Objectives: This study aims to investigate an epidemic of cutaneous anthrax in Tunceli Province, Eastern Turkey.

Materials and methods: Seven cases with cutaneous anthrax, admitted to emergency room, were diagnosed and followed at Elazig Harput State Hospital in August 2011. The possible sources of epidemic and clinical characteristics of the patients were evaluated.

Results: The mean age of seven cases with cutaneous anthrax was 34.1±8 years, of whom four were male and three were female. All patients were from the same village of Cemisgezek, Tunceli, and all of them had contacted with a dead animal. Amoxicillin/clavulanic acid-resistant Bacillus anthracis was recovered from a patient’ wound. This resistance may be related with the inappropriate use of antibiotics in animal and animal husbandry practices.

Conclusion: Most of natural originated anthrax cases are cutaneous. Although the incidence of anthrax has decreased in Turkey, the disease is still endemic in the eastern part of the country. J Microbiol Infect Dis 2012; 2(1): 9-13

Key words: Anthrax, epidemic, amoxicillin/clavulanic acid, antibiotic resistance

Volume 02, Number 01 (2012)