In South Texas it would be usual and expected to diagnose a sporadic case of human anthrax. The presentation would normally be a single cutaneous eschar on a visible surface such as the hand or arm. The epidemiologic history would most likely involve contact with a known diseased animal. The latest example was an adult male who cut himself while removing the hide (skinning) from a buffalo (American Bison) that had died at a game ranch. The geographic area had recently experienced a severe die-off of white tailed deer from anthrax. This clinical presentation and epidemiologic history would be usual and normal in South Texas.