case_images: PMC2972760_01
case_images: PMC2972760_02
case_images: PMC2972760_03
case_images: PMC2972760_04
case_images: Extensive edema and hemorrhage involving the cecum in a patient with intestinal anthrax.
case_images: 02-0537-F1.jpg
case_images: PMC2972760_04_02-0537-F1.jpg
case_images: F1
case_images: The patient underwent laparotomy for suspected acute appendicitis that showed edema of the cecum and ascending colon, as well as enlargement of the mesenteric lymph nodes (Figure 1).
case_images: Anthrax bacilli (arrow) within mesenteric lymph node tissue.
case_images: 02-0537-F2.jpg
case_images: PMC2972760_04_02-0537-F2.jpg
case_images: F2
case_images: Gram-positive rods were visible upon pathologic examination of the excised lymph nodes (Figure 2).
case_images: PMC2972760_05
case_images: PMC2972760_06
case_images: A. Severe edema of a small bowel loop in intestinal anthrax with a large mesenteric lymph node held between the surgeon's fingers. B. Same segment of bowel opened after resection. Edema, necrosis, and mucosal hemorrhages exist. A central eschar (arrow) and small surrounding nodules (arrowhead) are reminiscent of the cutaneous lesions of anthrax.
case_images: 02-0537-F3.jpg
case_images: PMC2972760_06_02-0537-F3.jpg
case_images: F3
case_images: Laparotomy showed a large amount of ascitic fluid, an edematous small bowel loop proximal to the cecum, and enlarged mesenteric lymph nodes (Figure 3A and B).