DIAGNOSIS AND TREATMENT OF EXOTIC DISHES

File: 121096_sep96_decls39_0010.txt
Page: 0010
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







           muscle weakness of the palate, tongue, larynx, respiratory muscles, an(
           extremities. Deep tendon reflexes vary from intact to absent. No path,
           reflexes are present, and the sensory exam generally is normal (althoug         rts
           suggest that obtundation or sensory involvment may sometimes occur).
                 B. DUGNOSIS
                 1. Routine Laboratory Findings
                 Routine laboratory findings are of no value in diagnosis. The
           cerebrospinal fluid is normal.
                 2. Differential DiaLynosis
                 The occurrence of an epidemic with large numbers of afebrile pal
           with progressive ocular, pharyngeal, respiratory, and muscular weakne.;
           paralysis hints strongly at the diagnosis. Single cases may be confused
           various neuromuscular disorders such as atypical Guillain-Baffe syndroi
           myasthenia gravis, or tick paralysis. The edrophonium (tensilon) test rc
           transiently positive in botulism. Other considerations include enterovirui
           infections, but in these patients, fever is present, paralysis is often
           asymmetrical, and the cerebrospinal fluid is abnormal. In the present st         it
           will be necessary to distinguish nerve agent and atropine poisoning from
           bota&um intoxication. Briefly, organophosphate nerve agent poisoning
           in miotic pupils and copious secretions. In atropine poisoning, the pupi)
           dilated and mucous membranes are dry, but central nervous system excii
           with hallucinations and delirium is present. See Section IV for a more
           comprehensive differential.
                 3. Specific Laboratory Dia-
                 Detection of toxin in serum or gastric contents from cases of foodi
           botulism is often feasible by mouse inoculation. In the case of inhalation


                                                   10

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