Malignant anthrax in Russian Federation in 2023: two case reports

V. V. Nikiforov
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Abstract

Malignant anthrax is a serious health and agricultural problem in Russia. Even starting only from 1900, more than 70 thousand outbreaks of infection among people and animals can be counted in Russia. Adequate veterinary measures have now led to a sharp decrease in the level of morbidity in livestock as the main source of its causative agent. At the same time, the incidence of human illness has decreased, which is greatly facilitated by routine immunization of the population exposed to occupational risk of infection. However, despite the measures taken, epizootics and epidemic foci of anthrax are registered annually. As a result, anthrax diseases occur quite often among residents of these areas. The article discusses the features of the modern course of the cutaneous form of anthrax, which is analyzed during the treatment of patients from two foci of anthrax infection in the Voronezh region in August-October 20123. The uniqueness of this observation lies in the opportunity to present to readers the evolution of skin changes in the carbunculous variety of cutaneous anthrax from the early stages of development of the ulcerative process to almost complete recovery.
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2023 年俄罗斯联邦的恶性炭疽:两份病例报告
恶性炭疽在俄罗斯是一个严重的健康和农业问题。即使从 1900 年开始,俄罗斯爆发的人畜感染病例也超过了 7 万次。现在,由于采取了适当的兽医措施,作为病原体主要来源的牲畜的发病率急剧下降。与此同时,人类发病率也有所下降,这在很大程度上得益于对有职业感染风险的人群进行了常规免疫接种。然而,尽管采取了这些措施,每年还是会出现炭疽的流行病和流行病疫点。因此,炭疽病经常在这些地区的居民中发生。 文章讨论了皮肤型炭疽病的现代病程特点,并分析了 2012 年 8 月至 10 月在沃罗涅日地区两个炭疽病感染疫点对患者的治疗过程3。本次观察的独特之处在于向读者展示了痈疽型皮肤炭疽从溃疡早期发展到几乎完全康复的皮肤变化过程。
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