Document Page: First | Prev | Next | All | Image | This Release | Search
File: 123096_sep96_decls23_0008.txt
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
BRUCELLOSIS
communicability 6. Pulmonary (15-25%):
A. Route: inhalation of infectious aerosols; ingestion of cough
contaminated meat or dairy products; direct contact 7. Systemic (almost 100%):
with infected tissues, blood or lymph with abraded skin fever
or mucous membranes. night sweats
malaise
S. isolation of patients: body fluid precautions. weakness
weight loss
C. Contact prophylaxis: none required. S. Cutaneous (5%):
many non-specific findings such as erythema
Incubation period: 2 - 3 weeks (one week to several nodosum, eczematous rashes, vasculitis, maculo-
months). papular rashes and petechiae.
Ill. Diagnosis: systemic infection with protean manifestations; C. Laboratory:
no diagnostic clinical findings. Exposure history is 1. Hematology: anemia, leukopenia, thrombocytopenia
ogy: culture of pathogen from blood, bone
products or consumption of cheese; (2) exposure to animals, marrow, fluids or tissue; special media, condi-
livestock, meats. tions and precautions required.
3. Serology: very helpful; IgM elevated in first 3
A. Symptoms and signs: weeks, followed by IgG after 3 weeks; titer >
1. osteoarticular (20-85%): 1:160 indicates past exposure.
arthralgias
myalgia D. Radiology:
arthritis CXR abnormal in patients who acquired infection by
spondylitis aerosol: bilar adenopathy; peribilar infiltrates;
osteomyelitis nodular lesions; lung abscess; pleural effusions;
tenosynovitis pneumothorax.
bursitis
sacroileitis E. Invasive procedures: not required for diagnosis; only
2. Neurological (2-5t): required in therapy for focal suppurative com-
ications.
myelitis
paresis i P. "Gold Standard:" isolation of pathogen or titer >
psychosis 1:160 with compatible epidemiologic and clinical
depression findings.
headaches
3. Genitourinary (2-40%): IV. Duration:
unilateral epididymo-orchitis A. Treated: weeks to months.
pyelonephritis, acute interstitial nephritis, B. Untreated: months, with up to 30% complications.
prostatitis, (very uncommon)
4. Cardiovascular: V . Complications: see signs and symptoms
endocarditis - 2% (most common cause of death)
5. Gastrointestinal: VI. Treatment: A. No complications: doxycycline loo g
hepatitis BID plus rifampin 600 Mg/day x 6 weeks.
nausea and vomiting B. Complications: seek specialist input.
diarrhea C. Treatment failure and relapses occur in
abdominal pain 5%; most not due to drug resistance;
retreat with initial regimen.
anorexia
6
7
Document Page: First | Prev | Next | All | Image | This Release | Search
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