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File: 970101_sep96_decls37_0013.txt
Subject: MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL
Unit: OTSG
Parent Organization: HSC
Box ID: BX003201
Folder Title: MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL
Document Number: 1001
Folder Seq #: 31
UNCLASSIFIED
inferred from animal studies. Use requires pretesting for
sensitivity to animal serum (and desensitization for those
allergic), and disadvantages include rapid clearance by immune
elimination, as well as theoretical risk of serum sickness.
STAPHYLOCOCCAL @OTOXIN B
Staphylococcal enterotoxin B (SEB) is one of the several
exotoxins produced by Staphylococcus aureus, causing food
poisoning when ingested.
A biological warfare attack with aerosol delivery of SEB to
the respiratory tract produces a distinct syndrome causing
significant morbidity and potential mortality.
Clinical Features. The disease begins 1-6 hours after
exposure with the sudden onset of fever, chills, headache,
myalgia, and non-productive cough. In more severe cases,
dyspnea and retrosternal chest pain may also be present.
Fever, which may reach 103-106 degrees F, has lasted 2-5 days,
cough may persist 1-4 weeks. In many patients, nausea, which
may be severe, vomiting, and diarrhea will also occur.
Physical findings are often more unremarkable. Conjunctival
injection may be present, and in the most severe cases, signs
of pulmonary edema would be expected. The chest x-ray is
generally normal, but in severe cases, there will be increased
interstitial markings, atelectasis, and possible overt
pulmonary edema. in moderately severe laboratory exposures,
lost duty time has been greater than 2 weeks, but, based upon
animal data, it is anticipated that severe exposures will
result in fatalities.
DIAGNOSIS
. I story FindingA. Laboratory findings are
elevated erythrocyte sedimentation rate.
0 . In foodborne SEB intoxication,
favor and respiratory involvement are not seen, and
gastrointestinal symptoms are prominent.
10
UNCLASSIFIED
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Document 23 f:/Week-36/BX003201/MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL/medical defense against biological material:12249609313138
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX003201
Unit = OTSG
Parent Organization = HSC
Folder Title = MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL
Folder Seq # = 31
Subject = MEDICAL DEFENSE AGAINST BIOLOGICAL MATERIAL
Document Seq # = 1001
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 = 24-DEC-1996