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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










             F.    U/A: proteinuria (15-20%).                                           IX. Public health measures:
             G.    Serology: Weil-Felix reaction to OX-19 (four-fold                         A.   Insecticide application to rat runs and rat-inf,,t,d
                   titer rise or single titer > 1/320).                                           areas to kill fleas.
             H.    Coagulation:   nonspecific.                                               B.   After effective insecticide applications, rat-elimina-
                                                                                                  tion measures including poisoning and trapping are
             I.    Invasive procedures: not    indicated.                                         indicated.
             J.    X-ray: findings non-specific.                                             C. Rat-proofing human quarters.
             K.    Diagnostic Confirmation: clinical diagnosis generally
                   is sufficient for patient care. If specific confirma-
                   tion is required for epidemiologic purposes, culture or
                   specialized application of indirect immunofluorescent
                   antibody after cross absorption of patient's serum with
                   specially prepared antigen from other rickettsial
                   species.

        IV.  Duration:

             A.    Treated: 2 to 3 days, until defervescence.

             B.    Untreated: up to 16 days until defervescence.

        V.   Complications: very uncommon.

        VI.  Treatment:

             A.    Standard:
                   1.   Tetracycline 250 mg PO QID until day 3 after
                        defervescence.

             B.    Alternatives:
                   1.   Doxycycline 100 mg PO BID until 3 days after
                        defervescence.
                   2.   Chloramphenicol 50 mg/kg/day divided into 4 doses
                        until 3 days after defervescence.

   Relapse: rare in murine typhus; retreat with original
                              regimen.

        VII. Disposition: local hospitalization, anticipate return to
             duty in I to 2 weeks.

        Viii.      Prognosis: excellent; even untreated cases should
                   recover without sequelae.





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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