Differential Diagnosis of Anthrax
• The differential diagnosis of gastrointestinal anthrax includes viral gastroenteritis, shigellosis, and yersiniosis. • Inhalation anthrax must be distinguished from influenza-like illness (ILI) and tularemia. Most cases of ILI are associated with nasal congestion and rhinorrhea, which are unusual in inhalation anthrax. An additional distinguishing factor is the usual absence of an abnormal chest radiograph in ILI. • Cutaneous anthrax should be distinguished from staphylococcal disease, ecthyma, ecthyma gangrenosum, plague, brown recluse spider bite, and tularemia.
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