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Evaluation of the anthraxin skin test for diagnosis of acute and past human anthrax.

Abstract
A skin test for the diagnosis of human anthrax was evaluated as an alternative to bacteriological confirmation of human anthrax, which is possible in 10-40% of cases within the first three weeks of the disease only. The anthraxin skin test, which detects anthrax cell-mediated immunity, was positive in 81.8% of cases in the first three days of the disease, and in 97-99% of cases in the next two to three weeks. The positivity rate was 98.5% in the first 1.5 months of convalescence, 92.8% in the next 3 years, 82.8% in the following 4 to 15 years, and 72.7% 16 to 31 years after recovery. Thus, the anthraxin skin test appears to be a valuable method for early diagnosis of acute anthrax as well as the only method available for retrospective diagnosis of human anthrax.
AuthorsE Shlyakhov, E Rubinstein
JournalEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology (Eur J Clin Microbiol Infect Dis) Vol. 15 Issue 3 Pg. 242-5 (Mar 1996) ISSN: 0934-9723 [Print] Germany
PMID8740861 (Publication Type: Clinical Trial, Comparative Study, Controlled Clinical Trial, Journal Article)
Topics
  • Acute Disease
  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Anthrax (diagnosis)
  • Bacillus anthracis (immunology)
  • Bacteriological Techniques
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Male
  • Middle Aged
  • Sex Factors
  • Skin Tests
  • Time Factors

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