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File: 121096_sep96_decls39_0014.txt
Subject: DIAGNOSIS AND TREATMENT OF EXOTIC DISHES
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DIAGNOSOS AND TREATMENT OF EXOTIC DISEASES
Document Number: 1
Folder Seq #: 180
ST COCCAL ENTEROTOXIN B
A. CLIMCAL SYNDROME
Staphylococcal enterotoxin B (SEB) is one of several exotoxins p d
by Stabylococcus aureus, causing food poisoning when ingested.
A biowarfare attack with aerosol delivery of SEB to the respiratc :t
produces a distinct syndrome causing significant morbidity and potentia
mortality.
Clinical Features:
The disease begins 1 to 6 hours after exposure with the sudden o
fever, chills, headache, myalgia, and nonproductive cough. In more se
cases, dyspnea and retrostemal chest pain may also be present. Fever,
may reach 103-106 F, has lasted 2-5 days, but cough may persist I to d S.
in many patients, nausea, which may be severe, and vomiting will also
Physical findings are often unremarkable. Conjunctival injection may t
present, and in the most severe cases, signs of pulmonary edema would
expected. The chest X-ray is generally normal, but in severe cases, the
be increased interstitial markings, atelectasis, and possibly overt pulmor
edema. In moderately severe laboratory exposures, lost duty time has t is
than 2 weeks, but, based upon animal data, it is anticipated that severe
exposures will result in fatalities.
B. DUGNOSIS
1. Routine Laboratory FindinU
Laboratory findings are non-contributory except for a neutrophilic
leukocytosis and elevated erythrocyte sedimentation rate.
2. Differential Diagnosis
14
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Document 24 f:/Week-36/BX003203/DIAGNOSOS AND TREATMENT OF EXOTIC DISEASES/diagnosis and treatment of exotic dishes:12069615360440
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSOS AND TREATMENT OF EXOTIC DISEASES
Folder Seq # = 180
Subject = DIAGNOSIS AND TREATMENT OF EXOTIC DISHES
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 06-DEC-1996