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File: 123096_sep96_decls23_0010.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
2. Chemistries:
reversible liyperbilirubinemia, hyperuricemia, liyperbilirubinemia
nausea, headache, insomnia, lethargy, and Elevated transaminases
mood alterations. Overall, however, the drug 3. Urinalysis:
appears safe and generally well tolerated. Hematuria - 90%
Proteinuria - 90%
Incubation: 7 days (range: 3-16 days). 4. Microbiologic:
a. Unavailable in most clinical laboratories.
III. Diagnosis: b. Viral isolation possible by specialized
laboratories with sophisticated containment
A. Symptoms: and viral culture capabilities.
Prodromal flu-like syndrome C. Exposure of laboratory personnel to aerosol-
Abrupt onset of severe illness ized specimens is highly dangerous.
uld be present by day 20,
Anorexia - 100% IgM earlier. Generally of retrospective and
epidemiologic rather than immediate clinical
Bleeding tendency - 100% value.
Headache - 90% 6. Coagulation studies:
Abdominal Pain - 90% Prolonged bleeding time - 100%
Backache - 90%
Arthralgia/myalgia - 70% Prolonged PT - 75%
Diarrhea - 40-50% Prolonged APTT - 67%
Photophobia - 50% Diminished fibrinogen - loot
Cough (non-productive) - 16-40% Increased fibrin split products - 60%
Chest pain - 20% D. invasive Procedures: not applicable.
Sore throat - 16%
B. signs: E. X-rays: nonspecific.
Fever: to 40@ (1040F) - 100%
Skin hemorrhages (petechiae, purpura) 100% F. Diagnostic Confirmation: serologic or viral isolation.
Jaundice 25-100%
IV. Duration:
Tachycardia - 70-90%
Hypotension - 70-90% A. Untreated: 10-14 days with subsequent convalescence
Oliguria - 80% requiring several weeks
Hepatomegaly - 80-100%
Disturbed consciousness - 80% B. Treated: undefined, but presumably shorter acute
GI bleeding (hematemesis or melena) 70% illness and markedly abbreviated convalescence
Epistaxis - 50% V. Complications:
Vaginal bleeding >50% of women
Edema - 50%
Meningeal irritation - 40% A. Sepals, shock, renal failure, death.
Bleeding gums - 40%
Relative bradycardia - 20* B. Relapse does not occur.
Conjunctival injection - 20%
Palmer erythema - 20% VI. Treatment:
Gingival ulcers - 16% A. Treatment regimens of proven efficacy do not exist.
C. Laboratory:
1. Hematologic: b. Ribavirin: preliminary studies of ribavirin against
Anemia (as condition deteriorates) CCHF, and clinical studies of ribavirin's efficacy
Leukopenia - 60% against related viral hemorrhagic fevers suggest that
Thrombocytopenia - 100% it may be beneficial for treatment of CCHF.
Atypical lymphocytes - 60% 11
10
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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