Table 3.

Antitoxin Treatment in Human Inhalation Anthrax

Case	Age	Gender	Exposure	Clinical Presentation	Antimicrobial Initiation Post Symptom Onset (Days)	Antimicrobial Treatment	Additional Supportive Care	Anthrasil Administration Post Symptom Onset (Days)	Outcome
44, 47	44	M	Animal hide drums	Dyspnea, cough, syncope, chest pain, bilateral pleural effusions, mediastinal fluid, progressive respiratory failure, elevated liver enzymes, elevated creatinine	2–3	Ceftriaxone, azithromycin, moxifloxacin, clindamycin, piperacillin/tazobactam	Mechanical ventilation, pleural fluid drainage, vasopressors	9	Lived
45, 46	61	M	Unknown, presumed environmental	Fever, productive cough, exertional dyspnea, progressive respiratory failure, elevated creatinine	2	Ceftriaxone, azithromycin, ciprofloxacin, meropenem, vancomycin, rifampin, clindamycin	Mechanical ventilation, pleural fluid drainage	7	Lived
42, 43	34	M	Animal hide drums	Fever, night sweats, rigors, rapid respiratory failure, pleural effusions, widened mediastinum, multi-organ failure	2	Amoxicillin, clarithromycin, piperacillin/tazobactam, rifampicin, ciprofloxacin, clindamycin	Multi-organ support: mechanical ventilation, pleural fluid drainage, vasopressors, steroids	8	Died