|Clinical Guidelines and Treatment Manual (Médecins Sans Frontières, 1993)|
|Chapter 4 - Skin conditions|
A bacterial zoonosis of herbivorous mammals that is transmitted to humans by skin contact with carcasses or animal products, and rarely by ingestion of undercooked infected meat.
- Pustule that develops into a black eschar surrounded by vesicles and an inflamed area, with regional adenopathy. Painless.
- May cause fatal septicemia.
- Intestinal and pulmonary forms exist.
penicillin: PPF(or procain penicilline) IM
Adult : 4 MU / d in a single injection x 5 days
Child : 100,000 U/kg/d in a single injection x 5 days
Adult: 4 MU/d divided in 3 doses x 7 days
Child : 100,000 U/kg/d divided in 3 doses x 7 days
chloramphenicol per os
Adult: 1.5-2 g/ d divided in 3 doses x 7 days
Child : 75 mg/kg/d divided in 3 doses x 7 days
tetracycline per os
Adult : 1.5-2 g/d divided in 3-4 doses x 7 days
Child > 8 years: 50 mg/kg/d divided in 3-4 doses x 7 days
Look for the source of contamination and take measures to prevent further transmission.