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File: 123096_sep96_decls23_0028.txt
Subject: DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANCE
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Document Number: 1
Folder Seq #: 88
RADIOS
1. Communicability:
2. Obtain blood for hemoglobin, chemistry, coagula-
tion and culture; place IV line. A. Route: virus laden saliva of an infected animal intro-
3. Perform LP if not contraindicated. duced by a bite.
4. Administer antibiotics:
a. penicillin G, 300,000 U/kg/day divided in 8 B. Isolation of patients: contact il,lation for saliva
to 12 doses, to a maximum of 2 million units and respiratory secretions. Transmission to attending
Q2h IV, or personnel has not been documented.
b. if penicillin allergic: chloramphenicol 100
mg/kg/day divided in 4 doses, to a maximum of C. Contact prophylaxis: ont,cts ith an open wound or
1 gm Q45h, IV. mucous membrane that has been exposed to the patients
S. Provide hemodynamic and respiratory support as saliva should receive post-exposure prophylaxis.
needed.
6. Proceed with more detailed history and examina- II. Incubation period: 14 to 60 days (10 days to one year); 95%
tion; evaluate results of laboratory tests. are within one year.
n. should laboratory evaluation of CSF reveal pneumococci, III. Diagnosis:
,i r..i)@ be continued.
CSF reveal H. influenzae, ceftriaxone, 1 go ql2h A. Symptoms and signs: nonspecific syndrome of malaise,
fatigue, headache and fever lasting 2-10 days with pain
IV or chloramphenicol may be used. Ampicillin 200-300 and paraesthesia at the bite site in over 50%. ,;yn-
mg/kg/day divided q6h IV (eg, 3gm IV q6h) may be used drome merges to an acute encephalomyelitis with ap-
for H. influenzae proven sensitive to ampicilliii. prehension and hyperactivity progressing to spasm of
the swallowing muscles and hydrophobia.
VII. Disposition:
B. Laboratory: diagnosis confirmed by specific fluores-
A. Milder cases or cases which recover rapidly may be cent antibody staining of brain tissues. No useful
treated at hospitals in theater in anticipation of antemortem diagnostic findings that would change
return to duty. management, although corneal impression smears or a
skin biopsy of the neck above the bair line, stained
re, become with immunofluorescent antibody, can confirm the
complicated, or convalesce more slowly should be diagnosis.
evacuated after initial stabilization.
IV. Duration:
Viii. Prognosis: even properly treated cases may have 5-10%
mortality. Untreated , mortality may range from 50- A. Treated: death in weeks to months.
85%. Residual morbidity is not unusual in properly
treated cases. Hearing loss may persist. B. Untreated: death in days to weeks following onset of
clinical symptoms.
IX. Public health measures:
V. complications: usual multiple complications of comatose ICU
patient.
A. Vaccination of susceptible populations.
VI. Treatment:
B. Antibiotic prophylaxis of close contacts, as above.
A. No specific anti-rabies chemotherapy available; treat-
C. Prevent overcrowding in troop shelters, and provide ment is directed solely at supportive care.
them with adequate ventilation.
re prophylaxis not indicated for routine
deployment to the Middle East.
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Document 52 f:/Week-36/BX003203/DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS/diagnosis and treatment of diseases of importanc:12179609281524
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSIS AND TREATMENT OF DISEASES 1991PORTABLE FIELD PERSONNEL SHOWER SYSTEMS
Folder Seq # = 88
Subject = DIAGNOSIS AND TREATMENT OF DISEASES OF IMPORTANC
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 = 17-DEC-1996