Volume 68 Number 3 May 2001	back to contents

Toxemic Shock, Hematuria, Hypokalemia, and Hypoproteinemia in a Case of Cutaneous Anthrax	213-215
Parviz Khajehdehi, M.D.
Address correspondence to P. Khajehdehi, M.D., Professor of Medicine, House 53, Lane 10-Jangali, Mirza-Kouchak-Khan-Jangali Highway, Shiraz, 71959, Iran. A 20-year-old woman who had daily contact with domestic herbivores presented with a painless and pruritic lesion in her neck; the lesion ulcerated to a black necrotic eschar from which Bacillus anthracis grew. Rapidly expanding edema at the site of the ulcer was followed by shock, hematuria, hypokalemia, and hypoproteinemia. The latter symptoms - unusual for cutaneous anthrax - responded to intravenous penicillin therapy. KEY WORDS Anthrax, hypokalemia, hypoproteinemia, isolated hematuria, toxemic shock.

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