Sistema de Salut de Catalunya
Institut Català de la Salut
[Martínez-Campreciós J, Salvador F, Aznar ML, Molina I] Unitat de Salut Internacional, Drassanes-Vall d’Hebron Hospital Universitari, Barcelona, Spain. Servei de Malalties Infeccioses, Vall d’Hebron Hospital Universitari, Barcelona, Spain. PROSICS Barcelona, Spain. Centro de Investigación Biomédica en Red de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain. [Moreno M, Nindia A] Hospital Nossa Senhora da Paz, Cubal, Angola. [Del Barrio-Tofiño E] Servei de Microbiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
2024-02-19T08:23:19Z
2024-02-19T08:23:19Z
2024-03
Cutaneous anthrax; Systemic involvement; Traditional skin scarification
Ántrax cutáneo; Implicación sistémica; Escarificación tradicional de la piel
Àntrax cutània; Implicació sistèmica; Escarificació tradicional de la pell
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.
Article
Published version
English
Àntrax - Tractament; Bacil antràcic; Medicina tradicional - Àfrica; DISEASES::Bacterial Infections and Mycoses::Bacterial Infections::Gram-Positive Bacterial Infections::Staphylococcal Infections::Staphylococcal Skin Infections::Furunculosis::Carbuncle; Other subheadings::Other subheadings::/therapy; ORGANISMS::Bacteria::Endospore-Forming Bacteria::Gram-Positive Endospore-Forming Bacteria::Gram-Positive Endospore-Forming Rods::Bacillaceae::Bacillus::Bacillus anthracis; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Cosmetic Techniques::Body Modification, Non-Therapeutic; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Complementary Therapies::Medicine, Traditional::Medicine, African Traditional; ENFERMEDADES::infecciones bacterianas y micosis::infecciones bacterianas::infecciones por bacterias grampositivas::infecciones estafilocócicas::infecciones cutáneas estafilocócicas::forunculosis::ántrax; Otros calificadores::Otros calificadores::/terapia; ORGANISMOS::Bacteria::bacterias formadoras de endosporas::bacterias grampositivas formadoras de endosporas::bacilos grampositivos formadores de endosporas::Bacillaceae::Bacillus::Bacillus anthracis; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::técnicas cosméticas::modificación corporal no terapéutica; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::tratamientos complementarios::medicina tradicional::medicina tradicional africana
Elsevier
International Journal of Infectious Diseases;140
https://doi.org/10.1016/j.ijid.2024.01.004
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
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