DIAGNOSIS AND TREATMENT OF EXOTIC DISHES

File: 121096_sep96_decls39_0005.txt
Page: 0005
Total Pages: 24

Subject: DIAGNOSIS AND TREATMENT OF EXOTIC DISHES                        

Unit: OTSG        

Parent Organization: HSC         

Box  ID: BX003203

Folder Title: DIAGNOSOS AND TREATMENT OF EXOTIC DISEASES                                                      

Document Number:          1

Folder Seq  #:        180







                 Laboratory evaluation will reveal a neutrophilic leukocytosis.
           pleural effusions and evidence of meningitis are present, pleural and
           cerebrospinal fluids may be hemorrhagic.
                 2. Differentia Diaenosis
                 An epidemic of inhnlntion anthrax in its early stage with non-spea
           symptoms could be confused with a wide variety of viral, bacterial, anc          I
           infectious diseases. Progression over a period of 2 to 3 days with the 4
           development of severe respiratory distress followed by shock and death           36
           hours in essentially all untreated cases eliminates diagnoses other than i       :)a
           anthrax. The presence of a widened mediastinum on chest X-ray, in p2             r,
           should alert one to the diagnosis. Other suggestive findings include che         I
           edema, hemorrhagic pleural effusions, and hemorrhagic meningitis. Ot
           diagnoses to consider include aerosol exposure to staphylococcal enterol
           but in this case, onset would be more rapid after exposure (if known), 2
           prodrome would be evident prior to onset of severe respiratory symptor
           Mediastinal widening on chest X-ray will also be absent. Patients with
           pneumonia would have pulmonary infiltrates and clinical signs of pneun
           (usually absent in anthrax).
                 C. SMdfic Laboratory Diap-nosis
                 Bacillus anthragis will be readily detectable by blood culture with
           media. Smears and cultures of pleural fluid and abnormal cerebrospinal
           may also be positive. Impression smears of mediastinal lymph nodes ar
           spleen from fatal cases should be positive. Toxemia is sufficient to pen
           anthrax toxin detection in blood by immunoassays, and such assays will
           available in field-deployed laboratories (see Section IM.

                 C. THERAPY


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Document 24 f:/Week-36/BX003203/DIAGNOSOS AND TREATMENT OF EXOTIC DISEASES/diagnosis and treatment of exotic dishes:12069615360440
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DIAGNOSOS AND TREATMENT OF EXOTIC DISEASES
Folder Seq # = 180
Subject = DIAGNOSIS AND TREATMENT OF EXOTIC DISHES
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 = 06-DEC-1996