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Volume 26, Number 12—December 2020
Synopsis

Outbreak of Anthrax Associated with Handling and Eating Meat from a Cow, Uganda, 2018

Esther KisaakyeComments to Author , Alex Riolexus Ario, Kenneth Bainomugisha, Caitlin M. Cossaboom, David Lowe, Lilian Bulage, Daniel Kadobera, Musa Sekamatte, Bernard Lubwama, Dan Tumusiime, Patrick Tusiime, Robert Downing, Joshua Buule, Julius Lutwama, Johanna S. Salzer, Eduard Matkovic, Jana Ritter, Joy Gary, and Bao-Ping Zhu
Author affiliations: Uganda Public Health Fellowship Program, Kampala, Uganda (E. Kisaakye, A. Riolexus Ario, K. Bainomugisha, L. Bulage, D. Kadobera); Ministry of Health, Kampala (A. Riolexus Ario, M. Sekamatte, B. Lubwama, P. Tusiime); US Centers for Disease Control and Prevention, Atlanta, Georgia, USA (C.M. Cossaboom, D. Lowe, J.S. Salzer, E. Matkovic, J. Ritter, J. Gary, B. Zhu); Ministry of Agriculture, Entebbe, Uganda (D. Tumusiime); Uganda Virus Research Institute, Entebbe, Uganda (R. Downing, J. Buule, J. Lutwama); US Centers for Disease Control and Prevention, Kampala (B.-P. Zhu)

Main Article

Table 1

Clinical manifestations of anthrax by form in patients during an outbreak, Kween District, Uganda, April 2018

Signs and symptoms No. (%) patients
All cases, N = 49 Cutaneous-only, n = 13 Gastrointestinal-only, n = 16 Both, n = 20
Cutaneous
Skin itching (pruritis) 35 (65) 12 (92) 0 20 (100)
Skin reddening (erythema) 25 (51) 12 (92) 0 13 (65)
Skin swelling (edema) 26 (53) 11 (85) 0 15 (75)
Skin vesicles 17 (35) 8 (62) 0 9 (45)
Skin eschar 9 (18) 3 (23) 0 6 (30)
Regional lymphadenopathy
 15 (31)
 4 (31)
 0
 11 (55)
Gastrointestinal
Abdominal pain 37 (76) 2 (15) 16 (100) 19 (95)
Diarrhea 28 (57) 0 12 (75) 16 (80)
Bloody diarrhea 9 (18) 0 6 (38) 3 (15)
Sore throat 13 (27) 0 6 (38) 7 (35)
Vomiting 10 (20) 0 3 (19) 7 (35)
Swollen neck lymph nodes
 2 (4.1)
 0
 1 (6.3)
 1 (5.0)
Systemic
Fever 25 (51) 2 (15) 8 (50) 15 (75)
Lethargy 24 (49) 1 (7.7) 9 (56) 14 (70)
Anorexia 13 (27) 0 6 (38) 7 (35)
Difficulty breathing 5 (10) 0 1 (6.3) 4 (20)
Cough 5 (10) 0 1 (6.3) 4 (20)
Headache
 3 (6.1)
 0
 0
 3 (15)
Other
Photophobia 3 (6.1) 0 0 3 (15)
Neck pain or stiffness 2 (4.1) 0 0 2 (10)

Main Article

Page created: August 25, 2020
Page updated: November 19, 2020
Page reviewed: November 19, 2020
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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