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Volume 9, Number 5—May 2003

Synopsis

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

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Table

Reports of gastrointestinal anthrax published from 1970 to 2000

Y Authors (Reference) Country No. of patients Disease location Treatment Outcome
1970
Dutz et al. (7)
Iran
1
Stomach
Antibiotics
Died
1977
Nalin et al. (8)
Bangladesh
1
Unspecified
Antibiotics
Survived
1980
Jena (9)
Zimbabwe
1
Ascending colon
Surgery
Survived
1984
Phonboon et al. (10)
Thailand
74
Unspecified
Unspecified
3 died
1984
Ndyabahinduka et al. (11)
Uganda
143
Unspecified
Antibiotics
9 died
1985
Bhat et al. (12)
India
1
Unspecified
Antibiotics
Died
1990
Sekhar et al. (13)
India
20 internal*
Unspecified
Antibiotics
Unspecified
1990
Kunanusont et al. (14)
Thailand
3
Stomach
Antibiotics
1 died
1995
Alizad et al. (15)
Iran
1
Unspecified
Antibiotics
Died
1997
Tekin et al. (16)
Turkey
1
Cecum and ascending colon
Surgery
Survived
2000 CDC (17) USA 2 Unspecified Antibiotics Survived

aInternal includes inhalational anthrax, gastrointestinal anthrax, anthrax meningitis and septicemia; CDC, Centers for Disease Control and Prevention.

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