Healthy 18-year-old welder nearly died of anthrax—the 9th such puzzling case

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In 2022, CDC researchers found an unexpected pattern. Since 1997, seven cases of infection have been reported insect pests The group bacteria that produce anthrax toxin – all in metallurgists. Six of the seven were welders, hence it was called “welder’s anthrax”, the remaining case was a person working in a foundry grinding metal. Of the six cases where a specific insect pests The species was identified, B. tropicus including the newly reported case, was the culprit.

estimating risks

It is not clear why metalworkers, and especially welders, are particularly susceptible to this infection. In their 2022 report making the connection, CDC experts speculated that it may be a combination of a weakened immune response in the lungs after inhaling toxic metal fumes and gases created during metalworking and increased exposure to deadly germs in their workplaces.

In the latest case, the teen worked welding up to four hours a day, four days a week, with limited ventilation, sometimes in confined spaces, and often not using personal protective equipment such as respirators. Environmental samples from his workplace found anthrax-toxin-producing insect pests In 28 out of 254 spot samples. Other investigations of welder’s anthrax cases have yielded similar results.

So far, all nine cases have been found in Louisiana or Texas. But experts say cases are likely under-reported, and modeling suggests these dangerous germs may be thriving in several southern US states.

Experts also speculate that iron exposure may play a role. insect pests Bacteria need iron to survive and thrive, and metal workers can build up excess iron levels in their respiratory tract during their work. Excess iron can create a perfect environment for bacterial infections. In Kishore’s case, he was working with carbon steel and low hydrogen carbon steel electrodes.

At the moment, the exact risk factors and why the otherwise healthy teen—and no one else in her workplace—fell ill are unknown. The CDC and state officials recommended workplace changes to protect the health of metalworkers, including better use of respirators, ventilation, and dust control.

There is also a vaccine for anthrax that is recommended for people at high risk, such as certain military members, laboratory workers, and livestock handlers. It is unclear whether metalworkers may also be considered in this high-risk category in the future.



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