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File: 121096_sep96_decls39_0015.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
In foodbome SEB intoxication, fever and respiratory involvemer Lot
seen, and gastrointestinal symptoms are prominent.
The non-specific findings of fever, non-productive cough, myalg I
headache occurring in large numbers of patients in an epidemic setting
suggest any of several infectious respiratory pathogens, particularly ini
adenovirus, or mycoplasma. In a single biowarfare attack with SEB, c
would likely have their onset within a single day period, while these ot
naturally occurring, outbreaks would present over a more prolonged in
Naturally occurring outbreaks of Q fever and tularemia might cause co k,
but would involve much smaller numbers of individuals, and would mc IY
be accompanied by pulmonary infiltrates.
The dyspnea of botulism is associated with obvious signs of mus,
paralysis; its cholinergic blocking effects result in a dry respiratory tre(
patients are afebrile. Inhalation of nerve agent may lead to weakness, i a,
and copious secretions. Rapid progression of respiratory signs and syn
to a stable state distinguishes SEB intoxication from the early stages of X.
3. Specific Laboratory Dia
Toxin is cleared from the serum rapidly and is difficult to detect
time of symptom onset. Nevertheriess, specific laboratory tests are ava 'IO
detect SEB (see Section Ill),and serum should be collected as early as ;
following exposure. In situations where many individuals are symptom
sera should be obtained from those not yet showing evidence of clinical D.
Most patients develop a significant antibody response, but this may reqt
weeks.
C. THERAPY
mited to supportive care.
15
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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