Given the presence of lung anthracis and focal giant cell with foreign material, I would recommend immediate medical attention and treatment with antibiotics. The patient should be started on a regimen of ciprofloxacin 400mg IV every 12 hours or doxycycline 100mg IV every 12 hours, with consideration for switching to oral antibiotics once clinically stable. The treatment duration should be at least 60 days, with close monitoring for clinical response and potential side effects. It is also essential to consider the patient's occupational and exposure history to determine the need for post-exposure prophylaxis (PEP) for anthrax. In addition to antibiotic treatment, the patient may require supportive care, including oxygen therapy and management of any respiratory symptoms. If the patient's condition worsens or does not respond to initial treatment, second-line interventions such as the addition of clindamycin or rifampin may be considered. It is crucial to prioritize the patient's safety and well-being, considering the potential severity of lung anthracis and the need for prompt treatment to prevent morbidity and mortality.
What is the appropriate treatment for a patient diagnosed with lung anthracis, presenting with focal giant cells and foreign material, considering potential occupational exposure?
Last updated: January 17, 2026 • View editorial policy
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