Inhalation anthrax occurred in a man who vacationed in 4 US states where anthrax is enzootic. Despite an extensive multi-agency investigation, the specific source was not detected, and no additional related human or animal cases were found. Although rare, inhalation anthrax can occur naturally in the United States.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3901464PMC
http://dx.doi.org/10.3201/eid2002.130021DOI Listing

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