Cutaneous Anthrax
Incubation Period	Usually an immediate response up to 1 day
Typical Signs/Symptoms	Local skin involvement after direct contact with spores or bacilli Localized itching followed by 1) papular lesion that turns vesicular and 2) subsequent development of black eschar within 7-10 days of initial lesion
Treatment (See Inhalational Anthrax Treatment Protocol for specific therapy)	Obtain specimens for culture BEFORE initiating antimicrobial therapy Do NOT use extended-spectrum cephalosporins or trimethoprim/sulfamethoxazole because anthrax may be resistant to these drugs
Precautions	Standard contact precautions. Avoid direct contact with wound or wound drainage