Case 19 SUSPECTED

Characteristics 34-year-old man, employed in mail room of New York Post
Onset date October 19, 2001
Medical care date October 21, 2001
MMWR date 50 (43), Nov. 2, 2001
Location New York City
Probable source Letters postmarked September 18
Disease type Cutaneous anthrax
Details The most recent suspected cutaneous case occurred in a 34-year-old man who worked in the mail room of the New York Post who might have handled a letter postmarked September 18, which the patient handled during October 12-15 and subsequently was found to contain B. anthracis. On October 19, the patient noted a small, erythematous pruritic papule on his left forearm that later developed a small vesicle. On October 21, he started ciprofloxacin. By October 22, an eschar had developed, increased in size, and over the next several days was surrounded by erythema, edema, and induration. A biopsy was positive for B. anthracis by immunohistochemical (IHC) staining.
Death date Not applicable