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Bioterrorism-Related Inhalational Anthrax: The First 10 Cases Reported in the United States

John A. Jernigan,* David S. Stephens,*† David A. Ashford,* Carlos Omenaca,‡ Martin S. Topiel,§ Mark Galbraith,¶ Michael Tapper,# Tamara L. Fisk,*† Sherif Zaki,* Tanja Popovic,* Richard F. Meyer,* Conrad P. Quinn,* Scott A. Harper,* Scott K. Fridkin,*James J. Sejvar,* Colin W. Shepard,* Michelle McConnell,* Jeannette Guarner,* Wun-Ju Shieh,* Jean M. Malecki,** Julie L. Gerberding,* James M. Hughes,* Bradley A. Perkins,* and members of the Anthrax Bioterrorism Investigation Team(1)
*Centers for Disease Control and Prevention, Atlanta, Georgia, USA; †Emory University School of Medicine, Atlanta, Georgia, USA; ‡Cedars Medical Center, Miami, Florida, USA; §Virtua Health, Mount Holly, New Jersey, USA; ¶Winchester Medical Center, Winchester, Virginia, USA; #Lenox Hill Hospital, New York City, New York, USA; and **Palm Beach County Department of Public Health, West Palm Beach, Florida, USA


Figure 7C. Lymph node from same case shown in B, showing abundant Bacillus anthracis granular antigen staining inside mononuclear inflammatory cells and bacilli (arrows) in the subcapsular hemorrhagic area. (Immunohistochemical assay with a mouse monoclonal anti-B. anthracis cell wall antibody and detection with alkaline phosphatase and naphthol fast red, original magnification 100X)

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Figure 7C. Lymph node from same case shown in B, showing abundant Bacillus anthracis granular antigen staining inside mononuclear inflammatory cells and bacilli (arrows) in the subcapsular hemorrhagic area. (Immunohistochemical assay with a mouse monoclonal anti-B. anthracis cell wall antibody and detection with alkaline phosphatase and naphthol fast red, original magnification 100X)
 


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Emerging Infectious Diseases Journal
National Center for Infectious Diseases
Centers for Disease Control and Prevention