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Table 1 Clinical presentations of anthrax and Bacillus cereus pneumonia in metalworkers, compared with present report

From: Fatal community-acquired Bacillus cereus pneumonia in an immunocompetent adult man: a case report

 

Present case

Texas, 2003 [10]

Louisiana,1997 [9]

Louisiana, 1994 (n = 1) [8]

Cases of inhalation anthrax in 2001 (n = 10) [17]

Patient characteristic

 

Patient 1

Patient 2

Patient 1

Patient 2

  

Immunocompromised

No

No

No

No

No

No

No

Illicit drug use

No

No

No

No

No

No

No

Smoking

No

No

Yes

No

No

No

No

Other underlying complications

No

No

No

No

No

No

No

No. of days from symptom onset to medical care

1

6–7

8

5

3

2

3.5 (1–7)

Fever/chills

No

Yes

Yes

Yes

Yes

Yes

10

Dyspnea

Yes

Yes

Yes

Yes

Yes

Yes

8

Hemoptysis

Yes

Yes

Yes

Yes

Yes

Yes

0

Nausea/vomiting or diarrhea

No

Yes

Yes

No

No

Yes

9

Cough

Yes

Yes

Yes

Yes

Yes

Yes

9

Initial chest radiograph with effusions or infiltrates

Yes

Yes

Yes

Yes

Yes

Yes

10

Initial chest radiograph with widened mediastinum

No

No

No

No

No

No

7

Initial WBC count, cells/mm3

8400

15,100

25,100

26,900

8800

12,000

9800 (7500–13,300)

Hematocrit, %

44.7

61.9

57.4

Not Available

55.9

Not Available

46.0 (42.5–51.4)

  1. Note. Adapted from Table 1 of Avashia SB, Riggins WS, Lindley C, et al. Fatal pneumonia among metalworkers due to inhalation exposure to Bacillus cereus containing Bacillus anthracis toxin genes. Clin Infect Dis 2007;44:414–6. WBC: white blood cell
  2. *Data are median (range)