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File: 123096_sep96_decls23_0034.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
STREPTOCOCCAL INFECTIONS D. Impetigo:
1. Signs: pustule which enlarges into thickly
Communicability: crusted shallow skin ulcers, typically occurring
on exposed skin areas.
A. Route: IV. Duration:
1. Person to person, via respiratory or salivary
droplets. Crowded living arrangements enhance
transmission. A. Pharyngitis: treated I to 4 days; untreated 3 to 5
2. Food and waterborne outbreaks have occurred. days.
B. isolation of patient: not warranted. B. Scarlet Fever: rash persists 4 to 5 days; subsequent
desquamation persists 2 to 4 weeks.
C. Contact Prophylaxis; generally not warranted. In an
outbreak of streptococcal disease associated with C. Erysipelas/cellulitis: treated; improvement in 24 to
rheumatic fever or glomerulonephritis, culture and 48 hours: untreated; may proceed to fatality.
treatment of culture-positive household contacts
(barracks or tent mates) can be considered. Alterna- D. Impetigo: treated; improvement within 2 to 3 days.
untreated: may persist several weeks.
employed to interrupt an outbreak. V. Complications:
Incubation: 2 to 4 days for pharyngitis. A. Immunologic:
111. Diagnosis: clinical streptococcal disease may present as I.- Rheumatic fever.
pharyngitis, scarlet fever, erysipelas (superficial 2. Acute glomerulonephritis.
cellulitis), or pyoderma (impetigo). B. Infection: septicemia, otitis media, sinusitis,
A. Pharyngitis: mastoiditis, meningitis, brain abscess, toxic shock
1. Symptoms: sore throat, headache, fever, malaise. syndrome (all uncommon).
2. Signs: pharyngeal redness, edema, and lymphoid VI. Treatment:
hyperplasia; enlarged reddened tonsils with
exudate (in 50t), tender submandibular
lymphadenopathy; fever > 101'F (38.30C) A. Pharyngitis:
3. Laboratory: mild leukocytosis, positive pharyn- 1. Benzathine Penicillin G, 1.2 million units IN one
geal cultures. dose: preferred; or
2. Penicillin V 250 mg PO TID for 10 days (avoid clue
B. Scarlet Fever: to compliance problem); or
1. Usually occurs with pharyngitis, but may be seen 3. Erythromycin 250 mg PO QID for 10 days (for
with streptococcal skin infections. penicillin-allergic patients).
2. Symptoms: those of primary infected site, plus B. Scarlet fever:
fever, rash, and occasionally marked systemic 1. Treat primary source of infection (e.g. pharyn-
toxicity or a toxic-shock like syndrome.
3. Signs: diffuse blanching red rash, darker at skin gitis, skin) as appropriate.
creases, normally sparing face, palms, and soles. 2. Supportive care,
"Sand-paper" texture of skin is due to sweat gland C. Erysipelas/cellulitis:
occlusion. Palatal petechiae. Yellowish white
coating of tongue followed by beefy red appearance I Penicillinase-resistant penicillin (to cross cover
of tongue. possible staphylococcal etiology) IV or PO depend-
ing on severity of infection. May switch to oral
C. Erysipelas: agent 1 to 2 days after initiating therapy if
1. Symptoms: chills, fever, systemic toxicity. response is good. Ninimum 10 clay course; or,
2. Signs: red, edematous, sharply demarcated,
advancing skin lesion.
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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