Anthrax is an infection, which can be life threatening.
There are 3 forms of human anthrax, depending on where anthrax enters the body:
Once anthrax is in the body, it multiplies and releases toxins. The toxins cause swelling, bleeding, and tissue death. All forms of anthrax can cause death, but inhaled anthrax has a much higher mortality rate once symptoms develop.
Anthrax is caused by exposure to a specific bacteria or its spores. These spores are created by the bacteria and can survive in the environment for decades. The bacteria and spores can be found in the soil and livestock like cattle and goats. It is rare, but people can contract anthrax from:
Risk factors for anthrax include the following:
Symptoms usually start within a few days of exposure. They vary depending on the type of disease.
Inhalation anthrax symptoms occur in stages over several days. It may start with cold or flu symptoms such as:
Sometimes a brief period of seeming recovery will occur followed by rapid onset of:
Symptoms may occur in stages:
These symptoms will depend on the location of the lesions. Mouth and throat lesions can cause:
Lesions in the intestines can cause:
You will be asked about your symptoms and medical history. You will also be asked about potential sources of exposure. A physical exam will be done.
Fluid from wounds, mucosal membranes, and body fluids may be tested for bacteria. A blood test may be done to look for the presence of antibodies to anthrax.
If inhalation anthrax is suspected, your doctor may order a chest x-ray to examine your lungs.
It is important to start antibiotics early. Any delay greatly increases the risk of death, especially with inhalation anthrax. Treatment may be started with IV medications followed by oral antibiotics. You may need to take antibiotics for many weeks.
Inhalation anthrax may also be treated with a monoclonal antibody that specifically targets and neutralizes the anthrax bacteria.
If you have skin lesions, they will be carefully cleaned and dressed with bandages.
It is difficult to tell if you have been exposed. Anthrax is colorless, and has no smell or taste. Seek medical care if you suspect that you have had contact with anthrax. Antibiotics may be able to prevent infection following exposure. There is a vaccine to prevent anthrax. It requires multiple shots and is only partially effective. The vaccine is not recommended for the general population. It is routinely given to military personnel.
Strategies to prevent exposure to anthrax include:
Centers for Disease Control and Prevention
Military Vaccine Agency—Vaccine Healthcare Centers Network
BC Centre for Disease Control
Public Health Agency of Canada
Anthrax. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T114804/Anthrax. Updated February 4, 2016. Accessed September 29, 2016.
Anthrax. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/anthrax. Updated May 30, 2015. Accessed June 10, 2015.
Anthrax. National Institute of Allergy and Infectious Disease website. Available at: http://www.niaid.nih.gov/topics/anthrax/Pages/default.aspx. Updated September 30, 2013. Accessed June 10, 2015.
Inglesby TV, O'Toole T, Henderson DA, et al. Anthrax as a biological weapon, 2002: updated recommendations for management. JAMA. 2002;287(17):2236-2252.
Wright JG, Quinn CP, Shadomy S, Messonnier N, Centers for Disease Control and Prevention (CDC). Use of anthrax vaccine in the United States: recommendations of the advisory committee on immunization practices (ACIP). MMWR Recomm Rep. 2010;59(RR-6):1-30.
5/12/2014 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T114804/Anthrax: Bradley JS, Peacock G, Krug SE, et al. Pediatric anthrax clinical management. Pediatrics. 2014;133(5):e1411-e1436.
Last reviewed May 2016 by David Horn, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.