Endospores of Bacillus anthracis
Mediastinal widening and pleural effusion of inhalational anthrax.
Inhalation Anthrax is the most serious form of anthrax and results from breathing bacterial spores into the lungs. Once in the lungs, the spores germinate into live bacteria that release potent toxins. The disease starts with flu-like symptoms, followed by severe respiratory complications. Death may occur within 2 to 3 days of symptoms. Exposure to airborne anthrax spores could cause symptoms as soon as 2 days after exposure or as late as 6 to 8 weeks after exposure. Once symptoms appear, antibiotics may have limited effectiveness for treatment of inhalational anthrax because it is too advanced.
Dark eschar of cutaneous anthrax
Cutaneous anthrax, the skin form of anthrax, can cause skin or intestinal disease. It is the most common form of anthrax and results from contamination of the skin with anthrax spores (particularly on exposed areas of the hands, arms, or face). The disease begins with a local swelling that may look like an insect bite and progresses to a fluid-filled blister. The blister dries, ulcerates, and then forms a coal-black scab (the word anthrax comes from the Greek word for coal). Without antibiotic treatment, the local infection may spread through the body and can be fatal.
(Extensive edema and hemorrhage involving the cecum in a patient with intestinal anthrax.)
Intestinal Anthrax occurs from the ingestion of contaminated meat. The symptoms include nausea, loss of appetite, bloody diarrheas, fever, and stomach pain.
Should You Be Vaccinated Against Anthrax?
Currently the anthrax vaccine is only available for military members who want to get it and workers who can may be infected due to their jobs. These workers include wool or tannery workers, laboratory workers, and goat-hair mill or goatskin workers. Doctors do not have the vaccine and are unable to get it. The vaccine is for use by those between 18 and 65 years old.