1. Survival of Patient With Hemorrhagic Meningitis Associated With Inhalation Anthrax.
- Author
-
Espinosa, Evelyn Lombarte, Usón, María Cruz Villuendas, García, Jorge Arribas, García, Isabel Jado, Lacunza, Rafael Huarte, Chug, Paola Zárate, Vega, Luis Manuel Claraco, Andrés, María Jesús Santed, Ríos, María Jiménez, Cook, Rachel, Simard, J Marc, Boyer, Anne E, and Rezusta, Antonio
- Subjects
- *
ANTHRAX treatment , *THERAPEUTIC use of monoclonal antibodies , *LUNG radiography , *ANTHRAX meningitis , *OCCUPATIONAL diseases , *BLOOD , *ANTHRAX , *CELL culture , *INTRACRANIAL hemorrhage , *RESPIRATORY infections , *MULTIPLE organ failure , *ANTI-infective agents , *TREATMENT effectiveness , *ARTIFICIAL respiration , *CRITICAL care medicine , *LUMBAR puncture , *COMBINED modality therapy , *COMPUTED tomography , *INTRACRANIAL hypertension , *SEPTIC shock , *MENINGOENCEPHALITIS , *CEREBRAL edema , *ANTITOXINS , *DISEASE complications , *MIDDLE age - Abstract
This report describes a 49-year-old male construction worker who acquired a Bacillus anthracis infection after working on a sheep farm. He experienced a severe respiratory infection, septic shock, and hemorrhagic meningoencephalitis with severe intracranial hypertension. After several weeks with multiple organ dysfunction syndrome, he responded favorably to antibiotic treatment. Three weeks into his hospitalization, an intracranial hemorrhage and cerebral edema led to an abrupt deterioration in his neurological status. A single dose of raxibacumab was added to his antimicrobial regimen on hospital day 27. His overall status, both clinical and radiographic, improved within a few days. He was discharged 2 months after admission and appears to have fully recovered. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF