Case 4 CONFIRMED

Characteristics 45-year-old female, employed mail carrier
Onset date September 28, 2001  (CDC originally stated 9/27 then later stated 9/28)
Medical care date October 1, 2001
MMWR date 50 (42), Oct. 26, 2001
Location Postal facility in West Trenton, New Jersey
Probable source Letters postmarked September 18
Disease type Cutaneous anthrax
Details On October 1, a 45-year-old female mail carrier sought medical care at a local hospital for a 4-day history of worsening skin lesions on her right forearm. A biopsy was obtained and arrived at CDC on October 17 and later that night was found positive by IHC. In addition, tissue was positive for B. anthracis by polymerase chain reaction (PCR), and serologic testing was reactive. The patient's condition improved on antimicrobial therapy.

Click for news account of testing along mail route for Teresa Heller (10/26/01)

Click for news account of Teresa Heller (11/7/01)

Click for follow-up of Teresa Heller's return to normal (10/13/02)

Click for one-year follow-up of Teresa Heller (10/14/02)

Click for follow-up of Teresa Heller nearly seven years later (8/01/08)

Death date Not applicable