<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-13T05:42:16Z</responseDate><request verb="GetRecord" identifier="oai:www.recercat.cat:11351/11070" metadataPrefix="mets">https://recercat.cat/oai/request</request><GetRecord><record><header><identifier>oai:recercat.cat:11351/11070</identifier><datestamp>2026-04-04T03:16:30Z</datestamp><setSpec>com_2072_378070</setSpec><setSpec>com_2072_378040</setSpec><setSpec>col_2072_378092</setSpec></header><metadata><mets xmlns="http://www.loc.gov/METS/" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" ID="&#xa;&#x9;&#x9;&#x9;&#x9;DSpace_ITEM_11351-11070" TYPE="DSpace ITEM" PROFILE="DSpace METS SIP Profile 1.0" xsi:schemaLocation="http://www.loc.gov/METS/ http://www.loc.gov/standards/mets/mets.xsd" OBJID="&#xa;&#x9;&#x9;&#x9;&#x9;hdl:11351/11070">
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                  <mods:namePart>Moreno, Milagros</mods:namePart>
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                  <mods:namePart>del Barrio-Tofiño, Ester</mods:namePart>
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                  <mods:namePart>Nindia, Arlette</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Martínez-Campreciós, Joan</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
                  </mods:role>
                  <mods:namePart>Aznar, María Luisa</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Molina Romero, Israel</mods:namePart>
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               <mods:name>
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                     <mods:roleTerm type="text">author</mods:roleTerm>
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                  <mods:namePart>Salvador Velez, Fernando</mods:namePart>
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               <mods:originInfo>
                  <mods:dateIssued encoding="iso8601">2024-02-19T08:23:19Z2024-02-19T08:23:19Z2024-03</mods:dateIssued>
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               <mods:identifier type="none"/>
               <mods:abstract>Cutaneous anthrax; Systemic involvement; Traditional skin scarificationÁntrax cutáneo; Implicación sistémica; Escarificación tradicional de la pielÀntrax cutània; Implicació sistèmica; Escarificació tradicional de la pellObjectives&#xd;
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.&#xd;
Case presentation&#xd;
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.&#xd;
Conclusion&#xd;
Our case series points to increased complications and worse outcome of cutaneous anthrax disease if treated with skin scarification.</mods:abstract>
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               <mods:accessCondition type="useAndReproduction">Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess</mods:accessCondition>
               <mods:subject>
                  <mods:topic>Àntrax - Tractament</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Bacil antràcic</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Medicina tradicional - Àfrica</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>DISEASES::Bacterial Infections and Mycoses::Bacterial Infections::Gram-Positive Bacterial Infections::Staphylococcal Infections::Staphylococcal Skin Infections::Furunculosis::Carbuncle</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Other subheadings::Other subheadings::/therapy</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ORGANISMS::Bacteria::Endospore-Forming Bacteria::Gram-Positive Endospore-Forming Bacteria::Gram-Positive Endospore-Forming Rods::Bacillaceae::Bacillus::Bacillus anthracis</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Cosmetic Techniques::Body Modification, Non-Therapeutic</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Complementary Therapies::Medicine, Traditional::Medicine, African Traditional</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ENFERMEDADES::infecciones bacterianas y micosis::infecciones bacterianas::infecciones por bacterias grampositivas::infecciones estafilocócicas::infecciones cutáneas estafilocócicas::forunculosis::ántrax</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>Otros calificadores::Otros calificadores::/terapia</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>ORGANISMOS::Bacteria::bacterias formadoras de endosporas::bacterias grampositivas formadoras de endosporas::bacilos grampositivos formadores de endosporas::Bacillaceae::Bacillus::Bacillus anthracis</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::técnicas cosméticas::modificación corporal no terapéutica</mods:topic>
               </mods:subject>
               <mods:subject>
                  <mods:topic>TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::tratamientos complementarios::medicina tradicional::medicina tradicional africana</mods:topic>
               </mods:subject>
               <mods:titleInfo>
                  <mods:title>Impact of traditional cutaneous scarification on anthrax lesions: A series of cases from Cubal, Angola</mods:title>
               </mods:titleInfo>
               <mods:genre>info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion</mods:genre>
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