Impact of traditional cutaneous scarification on anthrax lesions : A series of cases from Cubal, Angola

Copyright © 2024. Published by Elsevier Ltd..

OBJECTIVES: Bacillus anthracis infection is a worldwide zoonosis that affects the most vulnerable population and has a high mortality rate without treatment, especially in non-cutaneous presentations. Cutaneous scarification is still common in some regions of the world for the treatment of certain diseases as part of traditional medicine. We describe a series of cutaneus anthrax from a rural setting in Angola where cutaneus scarification is common.

CASE PRESENTATION: This is a retrospective observational study describing a series of cutaneous anthrax cases from Cubal (Angola), many of whom were treated with skin scarification before admission. A total of 26 cases were diagnosed from January 2010 to December 2018. None of the cases were confirmed and eight (30.8%) were probable cases according to the Centers for the Disease Control and Prevention anthrax case definition. The median age was 11 (4.7-30.5) years, 17 (65.4%) had lesions on the head, face, or neck and 15 (57.7%) were treated with cutaneous scarification. Nine (34.6%) patients died. Traditional cutaneous scarification was significantly associated with cutaneous superinfection, respiratory, systemic involvement, and death.

CONCLUSION: Our case series points to increased complications and worse outcome of cutaneous anthrax disease if treated with skin scarification.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:140

Enthalten in:

International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases - 140(2024) vom: 01. Feb., Seite 104-109

Sprache:

Englisch

Beteiligte Personen:

Martínez-Campreciós, Joan [VerfasserIn]
Moreno, Milagros [VerfasserIn]
Salvador, Fernando [VerfasserIn]
Barrio-Tofiño, Ester Del [VerfasserIn]
Nindia, Arlete [VerfasserIn]
Aznar, Maria Luisa [VerfasserIn]
Molina, Israel [VerfasserIn]

Links:

Volltext

Themen:

Anti-Bacterial Agents
Case Reports
Cutaneous anthrax
Journal Article
Observational Study
Systemic involvement
Traditional skin scarification

Anmerkungen:

Date Completed 24.02.2024

Date Revised 24.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijid.2024.01.004

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366856340