1. There are only two things to worry about ;
   either you are well or you are sick.
   If you are well, then there is nothing to worry about.
   But if you are sick,
2. There are only two things to worry about ;
   Whether you will get well or whether you will die.
   If you get well, there is nothing to worry about.
   But if you die,
3. There are only two things to worry about ;
   Whether you go to Heaven or you go to Hell.
   If you go to Heaven, there is nothing to worry about.
   But if you go to Hell,
4. You won't have time to worry ! Because you will be busy
   shaking hands with old friends !

                  

(Continued from previous page)

Laboratory Diagnosis:- Presumptive identification in a hospital laboratory is based on the direct Gram's-stained smear of a skin lesion (vesicular fluid or eschar), cerebrospinal fluid, or blood showing encapsulated, broad, gram-positive bacilli. It is also made on the basis of indicators of growth apparent on sheep's-blood-agar-cultures nonhemolytic colonies and large, nonmotile, nonencapsulated, gram-positive. spore-forming rods.

Prophylaxis for asymptomatic patients with suspected exposure to anthrax spores can be achieved with a six-week course of doxycycline or ciprofloxacin. Penicillin and doxycycime are used for the treatment of anthrax. Intravenous administration is recommended in cases of inhalational, gastrointestinal, and meningeal anthrax. The recommended initial therapy for adults with clinically evident inhalational anthrax is ciprofloxacin given intravenously every 12 hours. The use of dual initial therapy (ciprofloxacin plus penicillin) may be considered. Early diagnosis and aggressive therapv mav be the key factors in this disease associated with high mortality.

The photograph shows a patient with inhalational anthrax. There is massive facial edema, the nose has gelatinous discharge.