Document Page: First | Prev | Next | All | Image | This Release | Search
File: 123096_sep96_decls23_0030.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
IV. Duration: up to 4 days, convalescence may be longer.
ACUTE SCHISTOSOMIABIS (XATJKYAKA FBVER)
V. Complications: none, though patients may have lethargy,
depression and easy fatigability for weeks after recovery. I. Communicability:
VI. Treatment: A. Route-man to man spread not seen. Disease acquired by
contact with infected fresh water by swimming, wading,
A. No specific treatment available yet. washing, etc.
B. Isolation of patients: not required.
B. Investigation into the potential use of ribavirin is in C. Contact prophylaxis: not required.
progress. Ribavirin, 400 mg PO QBh x 8 days, prevented
human disease after experimental challenge with sandfly 11@ Incubation period: schistosomiasis dematitis (swimmer
fever virus. itch) occurs within 24 hours of penetration of skin by the
infective forked tailed cercariae. Clinical syndrome occur@
C. Provide supportive care. 1 to 3 months later and starts with an "enteric fever" like
or brucellosis.
VII@ Disposition: limited duty or local hospitalization until
fever resolves, then full duty. Occasionally, convalescence Ill. Diagnosis:
may be prolonged and some patients may require EVAC.
A. Exposure east of the great sand belts: S. aematobium
Viii. Prognosis: full recovery. Single infection confers which is not associated with an acute syndrome.
lasting immunity against same seratype.
B. Exposure west of the great sand belts: S, Mansoni
Ix. Public health measures: which could present as Katayama fever.
A. Insecticide spraying of troop quarters, emplacements C. Symptoms!
and entrenchments. fever (all)
chills
B. Troop education. sweating
headache
C. Insect repellents - command emphasis. cough (most)
diarrhea (50%)
D. Report outbreaks to higher echelon medical authorities. weight loss
D. Signs:
lymphadenopatby
hepatomegaly (50%)
splenomegaly (10%)
E. Laboratory:
easinophilia UP to 40t in all patients
F. Microbiology: stool exam shows eggs in most patient
with acute schistosomiasis: however, stools may be
negative since eggs are present in stool only 40-55
days following infection with a, an@soni.
G. Serology: not useful in acute cases.
II. Radiology: not useful acutely.
50
51
Document Page: First | Prev | Next | All | Image | This Release | Search
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