TY - JOUR AU - Sirisanthana, Thira AU - Brown, Arthur E. T1 - Anthrax of the Gastrointestinal Tract T2 - Emerging Infectious Disease journal PY - 2002 VL - 8 IS - 7 SP - 649 SN - 1080-6059 AB - When swallowed, anthrax spores may cause lesions from the oral cavity to the cecum. Gastrointestinal anthrax is greatly underreported in rural disease-endemic areas of the world. The apparent paucity of this form of anthrax reflects the lack of facilities able to make the diagnosis in these areas. The spectrum of disease, ranging from subclinical infection to death, has not been fully recognized. In some community-based studies, cases of gastrointestinal anthrax outnumbered those of cutaneous anthrax. The oropharyngeal variant, in particular, is unfamiliar to most physicians. The clinical features of oropharyngeal anthrax include fever and toxemia, inflammatory lesion(s) in the oral cavity or oropharynx, enlargement of cervical lymph nodes associated with edema of the soft tissue of the cervical area, and a high case-fatality rate. Awareness of gastrointestinal anthrax in a differential diagnosis remains important in anthrax-endemic areas but now also in settings of possible bioterrorism. KW - anthrax KW - anthrax classification KW - anthrax epidemiology KW - anthrax diagnosis KW - bioterrorism KW - Thailand KW - Uganda DO - 10.3201/eid0807.020062 UR - https://wwwnc.cdc.gov/eid/article/8/7/02-0062_article ER - End of Reference