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Case 15 CONFIRMED |
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| Characteristics | 55-year-old man, employed as postal worker |
| Onset date | October 16, 2001 |
| Medical care date | October 18, 2001 |
| MMWR date | 50 (42), Oct. 26, 2001 |
| Location | Brentwood Mail Center, Washington DC |
| Probable source | Daschle or Leahy letters postmarked October 9 |
| Disease type | Inhalational anthrax |
| Details |
On October 21, the man was admitted to the
hospital with suspected inhalational anthrax. The patient had initially
sought medical care at a physician's office on October 18 for 2 days of
progressive fatigue, myalgias, and fever. The patient had a temperature of
102 F (38.9 C) and normal white blood cell count and was sent home. The
patient returned to the ED on October 21 with persistent symptoms, including
chills, vague chest tightness, and temperature of 102 F (38.9 C). Chest
radiograph revealed right middle and lower lobe alveolar infiltrates and
right hilar and peritracheal soft tissue fullness. Evaluation revealed
hypoxia, leukocytosis, and hemoconcentration. Antimicrobial therapy was
initiated, and the patient was mechanically ventilated. The patient's
condition deteriorated, and he died on October 21. Blood cultures obtained
on admission to the hospital grew gram-positive bacilli, which were
confirmed later as B. anthracis at CDC.
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| Death date | October 21, 2001 |