Emerging Infectious Disease ISSN: 1080-6059

Endemic Gastrointestinal Anthrax in 1960s Lebanon: Clinical Manifestations and Surgical Findings

Zeina A Kanafani*, Antoine Ghossain†, Ala I Sharara*, Joseph M. Hatem†, and Souha S Kanj*

Author affiliations: *American University of Beirut Medical Center, Beirut, Lebanon; †Saint-Joseph University, Beirut, Lebanon

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Figure 3

A. Severe edema of a small bowel loop in intestinal anthrax with a large mesenteric lymph node held between the surgeon’s fingers. B. Same segment of bowel opened after resection. Edema, necrosis, and mucosal hemorrhages exist. A central eschar (arrow) and small surrounding nodules (arrowhead) are reminiscent of the cutaneous lesions of anthrax.

Figure 3. A. Severe edema of a small bowel loop in intestinal anthrax with a large mesenteric lymph node held between the surgeon’s fingers. B. Same segment of bowel opened after resection. Edema, necrosis, and mucosal hemorrhages exist. A central eschar (arrow) and small surrounding nodules (arrowhead) are reminiscent of the cutaneous lesions of anthrax.

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