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File: 123096_sep96_decls23_0038.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
ENDEMIC TYPHUS (MURINE TYPHUS, PLEABORNE TYPHUS)
C. The need for temporary isolation of infectious cases
may guide the disposition decision, based an available 1. Communicability:
medical capabilities.
A. Route:
VIII. Prognosis: excellent in properly treated cases. 1 . Bite of infected rat flea (Xenopsylla h@eo@l
2. No evidence of person to person transmission.
TX. Public health measures:
B. Isolation: not required,
A. isolation and treatment of infectious patients.
C. Prophylaxis of contacts: not required.
B. Prophylaxis of contacts (see Section 11, above).
11. Incubation: 12 days (range 4-15 days).
C. Avoid use of local (unpasteurized) dairy products.
III. Diagnosis: overall similar to epidemic typhus but milder,
briefer.
A. Symptoms: onset variable, but more commonly sudden.
fever (90-100%)
chills
headache (severe) (85% or more)
myalgia (85%)
non-productive uough (50-60%)
nausea
vomiting
marked weakness/prostration
sore throat
chest pain
B. signs:
fever (100%) up to 40@ (1050F) for 12-16 days
duration.
rash (60-80%) initial: upper thorax and abdomen,
macular, appears on day
3-5 of illness.
later: remains central, becomes
maculopapular, duration
4-8 days, rarely involves
face or palms.
conjunctival injection (50%)
splenomegaly (30%)
mental status changes (20%)
photophobia (10-20%)
no eschar present
C. Hematology: WBC usually normal.
D. Chemistries: non-specific.
E. Microbiology: not available, except in special facili-
ties with containment capability.
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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