Regional lymph node A Continued Regional hemorrhagic lymphadenitis Lymphatic or Pulmonary hematogenous< Septicemia, toxemia emphatic blockage Meningitis spread Pulmonary edema Shock Death a Death Death Vegetative anthrax bacilli grow in the lymph node creating regional hemorrhagic lymphadenitis . Bacteria spread through the blood and lymph and increase to high numbers, causing severe septicemia High levels of exotoxins are produced that are responsible for overt symptoms and death•Vegetative anthrax bacilli grow in the lymph node, creating regional hemorrhagic lymphadenitis •Bacteria spread through the blood and lymph and increase to high numbers, causing severe septicemia •High levels of exotoxins are produced that are responsible for overt symptoms and death. Continued