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Unformatted text preview: o fever, abdominal pain, diarrhea (may be bloody) 2. cutaneous o most common form of endemic anthrax o contracted by close contact of abraded skin with products o derived from infected herbivores (sheep, cattle, goats) 3. inhalational (the form of biological terrorism) o spores deposited in alveoli (2-6 ) and ingested by pulmonary macrophages and carried to tracheobronchial or mediastinal lymph nodes where they germinate (1-6d) and toxin production occurs resulting in necrosis of the lymphatic tissue causing release of large numbers of B. anthracis which gain access into the circulation resulting in overwhelming bacteremia and death o 1-6 d hemorrhagic mediastinitis CXR HALLMARK: widened mediastinum from hemorrhaged lymph nodes Subsequent bacteremia, pneumonia +/- meningitis and DEATH in 3-5 days...
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- Fall '10