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cutaneous

 [ku-ta´ne-us]
pertaining to the skin.

cu·ta·ne·ous

(kyū-tā'nē-ŭs),
Relating to the skin.
[L. cutis, skin]

cutaneous

(kyo͞o-tā′nē-əs)
adj.
Of, relating to, or affecting the skin.

cu·ta′ne·ous·ly adv.

anthrax

Greek, anthrax, a burning coal, charbon, milzbrand Infectious disease An often fatal bacterial infection which occurs when Bacillus anthracis endospores, primarily of grazing herbivore–cattle, sheep, horses, mules–origin enter via skin abrasions, inhalation, or orally Pathogenesis Anthrax endospores germinate within macrophages, become vegetative bacteria, multiply within the lymphatics, enter the bloodstream and cause massive septicemia Clinical URI-like symptoms, followed by high fever, vomiting, joint pain, SOB, internal and external hemorrhage, hypotension, meningitis, pulmonary edema, shock sudden death; intestinal anthrax is caused by ingestion of contaminated meat; cutaneous anthrax is rare Diagnosis ELISA for capsule antigens–95+% senstivity, for protective antigen–72% sensitivity; detection of exotoxins in blood is unreliable Prevention Prophylaxis–6 wks with doxycycline or ciprofloxacin; vaccination, with anthrax vaccine absorbed; decontamination with aerosolized formalin Management Penicillin, doxycycline; if allergic to penicillin, chloramaphenicol, erythromycin, tetracycline, ciprofloxacin See Bacillus anthracis, Cutaneous anthrax, Industrial anthrax, Inhalation anthrax.
Anthrax, clinical forms
Pulmonary
Almost universally fatal–due to inhalation of anthrax spores which germinate and produce toxins resulting in pleural effusions, hemorrhage, cyanosis, SOB, stridor, shock, death
Inhalation
Anthrax pneumonia, inhalational anthrax, pulmonary anthrax An almost universally fatal form due to inhalation of 1 to 2 µm pathogenic endospores which are deposited in alveoli, engulfed by macrophages and germinate en route to the mediastinal and peribronchial lymph nodes, produce toxins Clinical Mediastinal widening, pleural effusions, fever, nonproductive cough, myalgia, malaise, hemorrhage, cyanosis, SOB, stridor, shock, death, often accompanied by mesenteric lymphadenitis, diffuse abdominal pain, fever
Cutaneous
Once common among handlers of infected animals, eg farmers, woolsorters, tanners, brushmakers and carpetmakers in an era when brushes were from animals Clinical Carbuncle–a cluster of boils, that later ulcerates, resulting in a hard black center surrounded by bright red inflammation; rare cases which become systemic are almost 100% fatal
Gastrointestinal
After ingesting contaminated meat–2 to 5 days; once ingested spores germinate, causing ulceration, hemorrhagic and necrotizing gastroenteritis Clinical Fever, diffuse abdominal pain with rebound tenderness, melanic stools, vomit, fluid and electrolyte imbalances, shock; death is due to intestinal perforation or anthrax toxemia
Oropharyngeal
Uncommon, follows ingestion of contaminated meat Clinical Cervical edema, lymphadenopathy–causing dysphagia, respiratory difficulty
Anthrax meningitis
A rare, usually fatal complication of GI or inhalation anthrax with death occurring 1 to 6 days after onset of illness Clinical Meningeal symptoms, nuchal rigidity, fever, fatigue, myalgia, headache, N&V, agitation, seizures, delirium, followed by neurologic degeneration and death
.

cu·ta·ne·ous

(kyū-tā'nē-ŭs)
Relating to the skin.
[L. cutis, skin]

cutaneous

Pertaining to the skin.

Cutaneous

Pertaining to the skin.

cu·ta·ne·ous

(kyū-tā'nē-ŭs)
Relating to the skin.
[L. cutis, skin]
References in periodicals archive ?
30% cases were operated per cutaneously. Only in 5 cases, bone grafting was done.
BABL/c mice were infected cutaneously with 20 [+ or -] 3 Sj cercariae of Chinese mainland strain, and mice liver tissues were collected at weeks 0,5,6,8, and 12 after infection with Sj.
officinalis was found to be an effective treatment when applied cutaneously as a lotion to patients with severe dementia.
(55) However, at latitudes above 37 degrees North, from mid-October to mid-March, no vitamin D is made cutaneously due to the steep solar angle.
Continued urine flow may also have protective effects on the remnant urothelium.[sup.8,13] Others feel that selection bias sufficiently accounts for the different UR rates, where cutaneously diverted patients are older and have higher rates of prostatic and nodal involvement.[sup.7,10]
(2) In rare but clearly documented cases, some metastatic lesions were cutaneously implanted following percutaneous transhepatic biliary drainage.
All human cases were acquired cutaneously while a person was handling, performing necropsy on, or disposing of dead animals.
After review of prior case reports, two questions remain: (1) was the patient able to cutaneously absorb a sufficient amount of lindane in 2 hours to cause his seizure?
(11) 16-gauge angiocath was inserted per cutaneously in the right upper quadrant of the abdomen for decompression with alleviation of respiratory and hemodynamic problems.
These mixed cell tumors may be seen cutaneously, arising from plexiform nerves or within the spinal canal.