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File: 123096_sep96_decls1_0044.txt
Subject: DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Unit: OTSG
Parent Organization: HSC
Box ID: BX003203
Folder Title: DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Document Number: 1
Folder Seq #: 21
UNCLASSIFIED
Laboratory findings are noncontributory except for a neutrophihc leukocytosis and
elevated e@yte sedimentation rate.
2. Differential Diaenosis
In foodbome SEB intoxication, fever and respiratory involvement are not seen, and
gastrointestinal symptoms are prominent.
The nonspecific findings of fever, nonproductive cough, myalgia, and headache
occurring in large numbers of patients in an epidemic setting would suggest any of several
infectious respiratory pathogens, particularly influenza, adenovirus, or mycoplasma. In a
single biological warfare attack with SEB, cases would Mmly have their onset within a single
day, while these other, naturally occurring, outbreaks would present over a more prolonged
interval. NatumBy occurring outbreaks of Q fever and tulareniia might cause confusion, but
would involve much smaller numbers of individuals, and would more @ly be accompanied
by pulmonary infiltrates.
'rbe dyspnea of botulism is associated with obvious signs of muscular paralysis; its
cholinergic blocidng effects result in a dry respiratory tree, and patients are afebrile.
Inhalation of nerve agent may lead to weakness, dyspnea, and copious secretions. 7le early
clinical manifestations of inhalation ana=, tularemia, or plague may be similar to those of
SEB. However, rapid progression of respiratory signs and symptoms to a stable state
U-NCLASMFIED LE 6v',J,%@L
OIN: (DADR
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Document 109 f:/Week-36/BX003203/DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS/detection of medical defense against biological :1217960927452
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003203
Unit = OTSG
Parent Organization = HSC
Folder Title = DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIALS
Folder Seq # = 21
Subject = DETECTION OF MEDICAL DEFENSE AGAINST BIOLOGICAL
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