A 45-Year-Old Farmer with an Ulcerative Rash, Shock, and Hemorrhagic Meningitis

Mario Ponce Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru; Instituto Nacional de Salud, Lima, Peru; Departamento de Enfermedades Infecciosas y Tropicales, Hospital Nacional Cayetano Heredia, Lima, Peru

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Alberto Mendoza Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru; Instituto Nacional de Salud, Lima, Peru; Departamento de Enfermedades Infecciosas y Tropicales, Hospital Nacional Cayetano Heredia, Lima, Peru

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Carlos Seas Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Lima, Peru; Instituto Nacional de Salud, Lima, Peru; Departamento de Enfermedades Infecciosas y Tropicales, Hospital Nacional Cayetano Heredia, Lima, Peru

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Author Notes

*Address correspondence to Carlos Seas, Instituto de Medicina Tropical Alexander von Humboldt, Av. Honorio Delgado 430, Lima 31, Peru. E-mail: carlos.seas@upch.pe

Authors' addresses: Carlos Seas and Mario Ponce, Instituto de Medicina Tropical Alexander von Humboldt, Av. Honorio Delgado 430, Lima 31, Peru, E-mails: carlos.seas@upch.pe and mariocponce@yahoo.com. Alberto Mendoza-Ticona, Instituto Nacional de Salud, Av. Cápac Yupanqui 1400, Lima 11, Perú, E-mail: mendoza@ins.gob.pe.

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    Sejvar J, Tenover F, Stephens D, 2005. Management of anthrax meningitis. Lancet Infect Dis 5: 287–295.

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    Holty JE, Bravata DM, Liu H, Olshen RA, McDonald KM, Owens DK, 2006. Systematic review: a century of inhalational anthrax cases from 1900 to 2005. Ann Intern Med 144: 270–280.

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