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Volume 20, Number 9—September 2014
CME ACTIVITY - Synopsis

Confirmed Bacillus anthracis Infection among Persons Who Inject Drugs, Scotland, 2009–2010

Malcolm Booth1, Lindsay Donaldson1, Xizhong Cui, Junfeng Sun, Stephen Cole, Susan Dailsey, Andrew Hart, Neil Johns, Paul McConnell, Tina McLennan, Benjamin Parcell, Henry Robb, Benjamin Shippey, Malcolm Sim, Charles Wallis, and Peter Q. EichackerComments to Author 
Author affiliations: Glasgow Royal Infirmary, Glasgow, Scotland, UK (M. Booth, L. Donaldson, A. Hart); National Institutes of Health, Bethesda, Maryland, USA (X. Cui, J. Sun, P.Q. Eichacker); Ninewells Hospital, Dundee, Scotland, UK (S. Cole, B. Parcell); Victoria Infirmary, Glasgow (S. Dailsey); Queen Margaret and Victoria Hospitals, Dumfermline, Scotland, UK (N. Johns, B. Shippey); Crosshouse Hospital, Kilmarnock, Scotland, UK (P. McConnell); Hairmyres Hospital, East Kilbride, Scotland, UK (T. McLennan); Forth Valley Royal Hospital, Larbert, Scotland, UK (H. Robb); Western Infirmary, Glasgow (M. Sim); Western General Hospital, Edinburgh, Scotland, UK (C. Wallis)

Main Article

Table 1

Signs and symptoms prompting hospital visits for persons who inject drugs who had Bacillus anthracis Infection, Scotland, UK, 2009–2010

Patient no.* Signs and symptoms Degree of complaint
Survivor
1 Pain, swelling, exudate of left groin, fever, sweating Local, generalized
2 Pain of left buttock Local
3 Swelling, erythema, exudate of left forearm Local
4 Abscess of left thigh, malaise, pallor, fainting Local, generalized
5 Pain, swelling, exudate of right antecubital fossa Local
6 Pain, erythema, swelling of right antecubital fossa Local
7 Pain of left buttock radiating to groin, fever, chills Local, generalized
8 Swelling of left arm Local
9 Pain, swelling of right arm Local
10 Pain, swelling of right arm Local
11 Pain, swelling of left leg Local
12 Pain, swelling of left groin, headache, photophobia, fever Local, generalized
13 Pain, swelling of left testis and scrotum Local
14 Swelling, erythema of right hand Local
15 Pain, swelling of right hand to elbow Local
16
 Swelling and exudate of left groin, fever
 Local, generalized
Nonsurvivor
1 Pain, swelling, erythema of left thigh, fever, abdominal pain Local, generalized
2 Headache followed by delirium Generalized
3 Pain of right thigh Local
4 Pain of right buttock, chills, malaise Local, generalized
5 Swelling of right arm, seizure Local, generalized
6 Pain, erythema of right groin increasing in area Local
7 Confusion, lethargy, malaise Generalized
8 Pain of right hip, abdominal pain, seizures Local, generalized
9 Abdominal pain, fever Generalized
10 Fainting Generalized
11 Fatigue, malaise Generalized

*Patients are numbered in the order in which they sought care during the outbreak.

Main Article

1These authors contributed equally to this article.

Page created: August 15, 2014
Page updated: August 15, 2014
Page reviewed: August 15, 2014
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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