2026-04-13T07:06:33Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/110702026-04-04T03:16:30Zcom_2072_378070com_2072_378040col_2072_378092

00925njm 22002777a 4500 dc Moreno, Milagros author del Barrio-Tofiño, Ester author Nindia, Arlette author Martínez-Campreciós, Joan author Aznar, María Luisa author Molina Romero, Israel author Salvador Velez, Fernando author 2024-02-19T08:23:19Z 2024-02-19T08:23:19Z 2024-03 Cutaneous anthrax; Systemic involvement; Traditional skin scarification Ántrax cutáneo; Implicación sistémica; Escarificación tradicional de la piel Àntrax cutània; Implicació sistèmica; Escarificació tradicional de la pell Objectives Bacillus anthracis infection is a worldwide zoonosis that affects the most vulnerable population and has a high mortality rate without treatment, especially in non-cutaneous presentations. Cutaneous scarification is still common in some regions of the world for the treatment of certain diseases as part of traditional medicine. We describe a series of cutaneus anthrax from a rural setting in Angola where cutaneus scarification is common. Case presentation This is a retrospective observational study describing a series of cutaneous anthrax cases from Cubal (Angola), many of whom were treated with skin scarification before admission. A total of 26 cases were diagnosed from January 2010 to December 2018. None of the cases were confirmed and eight (30.8%) were probable cases according to the Centers for the Disease Control and Prevention anthrax case definition. The median age was 11 (4.7-30.5) years, 17 (65.4%) had lesions on the head, face, or neck and 15 (57.7%) were treated with cutaneous scarification. Nine (34.6%) patients died. Traditional cutaneous scarification was significantly associated with cutaneous superinfection, respiratory, systemic involvement, and death. Conclusion Our case series points to increased complications and worse outcome of cutaneous anthrax disease if treated with skin scarification. Àntrax - Tractament Bacil antràcic Medicina tradicional - Àfrica DISEASES::Bacterial Infections and Mycoses::Bacterial Infections::Gram-Positive Bacterial Infections::Staphylococcal Infections::Staphylococcal Skin Infections::Furunculosis::Carbuncle Other subheadings::Other subheadings::/therapy ORGANISMS::Bacteria::Endospore-Forming Bacteria::Gram-Positive Endospore-Forming Bacteria::Gram-Positive Endospore-Forming Rods::Bacillaceae::Bacillus::Bacillus anthracis ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Cosmetic Techniques::Body Modification, Non-Therapeutic ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Complementary Therapies::Medicine, Traditional::Medicine, African Traditional ENFERMEDADES::infecciones bacterianas y micosis::infecciones bacterianas::infecciones por bacterias grampositivas::infecciones estafilocócicas::infecciones cutáneas estafilocócicas::forunculosis::ántrax Otros calificadores::Otros calificadores::/terapia ORGANISMOS::Bacteria::bacterias formadoras de endosporas::bacterias grampositivas formadoras de endosporas::bacilos grampositivos formadores de endosporas::Bacillaceae::Bacillus::Bacillus anthracis TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::técnicas cosméticas::modificación corporal no terapéutica TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::tratamientos complementarios::medicina tradicional::medicina tradicional africana Impact of traditional cutaneous scarification on anthrax lesions: A series of cases from Cubal, Angola