Bacillus anthracis
Note: Biohazard level III pathogen. Alert the laboratory if this organism is suspected.
Gram Stain
- Gram positive bacilli (aerobic)
Clinical Significance
These organisms are distributed in nature, especially soil environments.
B. anthracis is an obligate pathogen of animals/humans and is the cause of anthrax which can manifest in different forms including cutaneous, intestinal and inhalational infections.
Usual Susceptibility Pattern
B. anthracis is typically susceptible to penicillin/ampicillin, doxycycline, and vancomycin.
Cephalosporins, TMP/SMX, and macrolides do not have reliable activity.
Clindamycin and quinolone resistance can be considerable depending on geographical location.
Empiric Therapy |
---|
Ciprofloxacin |
or |
Doxycycline |
Severe infection, add: |
Clindamycin |
+/- |
Rifampin |