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Cause of anthrax

Aerobic,
Gram positive
sporulating
capsulated
non-motile bacilli. BACILLUS ANTHRACIS
(GRAM STAIN)
Resistance
Vegetative forms are destroyed 600C in
30min.
Spore form viable for years in soil
Autoclaving kills anthrax spores
4% KmNo4 in 15 mts - kills anthrax
spores
Susceptible to many antibiotics like
pencillin etc.,
ANTIGENS
Important antigen:
Capsular antigen

Other antigens:
Cell wall polysaccharide antigens
Somatic protein antigens
Pathogenesis
Animals get infection
rarely by contact with
infected animals
Ingestion of spores
very common.
Infected animals
discharge more
anthrax bacilli from
mouth, nose & rectum
sporulation in soil
survive for years
source for other
animal
HUMAN ANTHRAX
Accidental infection
Secondarily infected
from diseased animal
Three clinical types
- Cutaneous anthrax
most common
- Pulmonary anthrax
less common
- Intestinal anthrax very
rare
CUTANEOUS ANTHRAX
Spores enter thro
abraded skin
Germinate & Multiply at
the site of entry.
Localised lesions - Face,
neck & hand.
Papule vesicle
pustular centrally
necrosed black
coloration.
PULMONARY ANTHRAX
Inhalation of the dust or
filaments of wool from
infected animals,
particularly in wool
factories ( wool sorters
disease)
Haemotogenous spread
50% meningitis
INTESTINAL ANTHRAX

Consumption of improperly cooked


infected meat.
Causes violent enteritis with bloody
diarrhoea

All clinical conditions lead to septicaemic anthrax if


not treated early Highly fatal!!!
Laboratory diagnosis
Pus from pustules cutaneous anthrax
Sputum pulmonary anthrax
Stool / suspected food intestinal
anthrax
Blood septicaemic anthrax
Gram stain

Microscopy
Gram stain for
bacilli demonstration
McFadyeans
reaction for
capsule McFadyaens reaction
demonstration.
Spore staining for
spore demonstration. Spore stain
Culture

SELECTIVE MEDIA
PLET MEDIUM POLYMYXIN, LYSOZYME, EDTA & THALLOUS
ACETATE
Culture
Other non-selective
media
Nutrient agar
colonies medusa
head appearance on
low power
microscopy
Blood agar usually
non-haemolytic
Nitrate reduction test

Nitrate negative Nitrate positive


ANIMAL INOCULATION
Mouse/ guinea pigs are injected with
specimens.
Animal dies in 48 hrs
Examine bacilli in blood of dead animal.
TREATMENT
Pencillin
Erythromycin
Antitoxins in emergency cases

ANIMAL VACCINE
Sterne vaccine
HUMAN VACCINE
Alum Precipitated Toxoid
3 doses intramuscularly at intervals of 6 weeks and 6 months
Booster dose after one year.

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