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File: 123096_sep96_decls1_0058.txt
Page: 0058
Total Pages: 109

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
                                                           SJEE

                                             PARALYSIS IN THE BW/CW SEITING





                      The differential diagnosis must include both bo@um and nerve agent intoxications.


                      a: Nerve agent is rapid in onset (minutes to 1-2 hr). A zigid paralysis develops with


               parasympathetic excess (salivation, n-dosis, sweating, involuntary defecation, and urination);


               central nervous system dysfunction and death soon follow. If exposure is by aerosol or


               vapor, constdcted pupils, rhinoffhea, and bmnchoconstriction also occur.


                      b: Botulinum toxin is slower in onset (3 hr to several days). Desmding paralysis


               (bulbar to extremities to respiratory) and parasympathetic blockade,(dry mouth, pupmary

               dilation, constipation, u@ retention, absence of sweating) are charactmisdc. Paralysis,


               nausea, vomiting, and diarrhea may, however, occur after exposure, to either nerve agent or


               bo@um toxin. Cen@ signs (confusion, seizure, coma) are rare after botulinum, but


               common after nerve agent intoxication.


                      c: Anticholinergics such as a@e can, of course, cause central nervous system

               changes such as agitation, confusion, and hallucinations as well as dry mouth, dry sidn, and

               constipation. 7tese changes could ewhy obscure the correct diagnosis in a soldier who used


               his injector even without exposure to an agent.




                                                                                 S@!FIED BY:
                                                               33                                 '-Ti@jLE 'SC)U@CES
                                                                              -"I A@'IFY olq:  C),4,L)R
                         UNCLASSIFIED

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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