Indiana University Infectious Diseases Fellowship
8 Sep,
5 tweets, 3 min read
#idboardreview 25 musician w/ recent trip to Africa where he got raw material to create his own drums admitted with respiratory failure. BC GPR. What sort of isolation is indicated? #idmed #idtwitter #meded 
Standard Isolation for naturally occurring inhalational #anthrax due to animal hides used as drum heads contaminated w/ spores
Pt does not have spores in his respiratory secretions & is of no risk to those in his environment. In theory, contaminated biologic fluid such as sputum could contain organisms that could incubate in the environment and produce spores, but this is quite unlikely #anthrax
optimal tx regimen of abx #anthrax is not known combination of ciprofloxacin+clindamycin is usually recommended, often w/ high dose penicillin if susceptible, or while awaiting susceptibility results. FDA has approved #raxabacumab, mab that neutralized anthrax toxin
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