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Pleural effusion / Widened mediastinum / Physical examination / Thoracentesis / Pleurisy / Anthrax / Pleural cavity / Chest tube / Chest radiograph / Medicine / Health / Occupational diseases


Research Bioterrorism-Related Inhalational Anthrax: The First 10 Cases Reported in the United States John A. Jernigan,* David S. Stephens,*† David A. Ashford,* Carlos Omenaca,‡ Martin S. Topiel,§ Mark Galbraith,¶
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Document Date: 2013-07-25 09:13:05

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City

Sverdlovsk / West Palm Beach / Mount Holly / Atlanta / Winchester / New York City / New York / Miami / /

Company

IgG / Emerging Infectious Diseases Laboratory / Fever (>37.8 o C) Tachycardia (heart rate >100/min) Hypotension (systolic blood pressure <110 mm Hg) Laboratory / /

Country

Soviet Union / Germany / United States / /

Event

Person Communication and Meetings / Product Issues / /

Facility

hospital October / #Lenox Hill Hospital / ¶Winchester Medical Center / On hospital / US Postal Service facility / ‡Cedars Medical Center / City Hospital / /

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IndustryTerm

Arterial blood gas values / textile mills processing goat hair / media / Therapy for congestive heart failure / /

MarketIndex

Case 10 / /

MedicalCondition

inhalational anthrax / photophobia / mild dry cough / several shallow gastric ulcers / chronic illnesses / mild nonproductive cough / subjective fever / large bilateral pleural effusions / bilateral wheezing / minimal dry cough / fatal inhalational anthrax / clinically compatible syndrome / bilateral moderate pleural effusions / mild headache / Serologic Emerging Infectious Diseases / diarrhea / Hematemesis / cardiac arrest / illness / pericardial tamponade / asthma / small right pleural effusion / Multiple abnormalities / abdominal pain / Pulmonary infiltrates / suspected small pericardial effusion / borderline hyponatremia / chills / viral syndrome / fever / lethargy / vomiting / intermittent fever / bioterrorism-associated inhalational anthrax / stomach cramps / supraventricular tachycardia / atrial fibrillation / infection / anthrax / renal calculi / nonproductive cough / small bilateral pleural effusions / pleural effusions / nuchal rigidity / atypical pneumonia / pleuritic chest pain / small pericardial effusion / headache / recurrent left pleural effusion / nausea / pericardial effusion / sarcoidosis / pneumomediastinum / lymphadenopathy / diffuse wheezing / mediastinal lymphadenopathy / showed hemorrhagic mediastinal lymphadenitis / large left pleural effusion / hypoalbuminemia / hypotension / systemic B. anthracis infection / congestive heart failure / X-ray findings Any abnormality Mediastinal widening Infiltrates/consolidation Pleural effusion / disease / large right pleural effusion / dyspnea / bilateral perihilar air space disease / severe mucosal hyperemia / tomography findings Any abnormality Mediastinal lymphadenopathy / mild abdominal pain / renal insufficiency / diabetes mellitus / chest tightness / pleuritic pain Myalgias Headache Confusion Abdominal pain Sore throat Rhinorrhea Emerging Infectious Diseases / cough / mediastinal and cervical lymphadenopathy / meningitis / mononuclear inflammatory cells / respiratory distress / gastric and duodenal ulcers / prominent hemorrhagic mediastinal lymphadenitis / seizures / bilateral pleural effusions / syncopal episode / treated sarcoidosis / right pleural effusion / cerebrovascular disease / Bioterrorism-Related Inhalational Anthrax / hyponatremia / gout / diet-controlled diabetes mellitus / another syncopal episode / hemorrhagic mediastinal lymphadenitis / persistent fever / bibasilar air space disease / cutaneous anthrax / pneumonia / low-grade fever / shortness of breath / hemorrhagic mediastinitis / bioterrorism-related anthrax / mild metabolic acidosis / substernal chest pain / orthostatic hypotension / dyspnea / abdominal pain / multilobar pulmonary consolidation / hypokalemia / bilateral pulmonary consolidation / dry cough / biphasic clinical illness / chest pain / bronchitis / minimal left pleural effusions / thrombocytopenia / intentional anthrax / transient ischemic attack / conjunctivitis / fatigue / peritonitis / tachycardia / progressively worsening dyspnea / neurologic symptoms / exertional dyspnea / sore throat / anterior chest pain / hemolytic anemia / hypertension / bronchospasm / bilateral pulmonary rhonchi / Emerging Infectious Diseases / pleural effusion / lethargy Cough / inflammation / disseminated B. anthracis infection / enlarging pericardial effusion / /

MedicalTreatment

blood transfusion / antibiotics / drainage / cautery / antibiotic therapy / mechanical ventilation / cannula / plasmapheresis / /

Organization

US Public Health Service / National Center for Infectious Diseases / ¶Winchester Medical Center / **Palm Beach County Department of Public Health / ‡Cedars Medical Center / Department of State / U.S. State Department / Emory University School of Medicine / #Lenox Hill Hospital / New York City Hospital / Centers for Disease Control and Prevention / US Postal Service / ND ND ND / /

Person

Michelle McConnell / James M. Hughes / Bradley A. Perkins / Richard F. Meyer / Michael Tapper / Conrad P. Quinn / Jeannette Guarner / John A. Jernigan / Scott A. Harper / Scott K. Fridkin / Colin W. Shepard / Jean M. Malecki / A. Schuchat / V / Tanja Popovic / Mark Galbraith / ¶ Michael / James J. Sejvar / Julie L. Gerberding / Tamara L. Fisk / /

Position

physician / editor / journalist / mail sorter / hospital supply room worker / worker / newspaper mailroom clerk / /

Product

metronidazole / penicillin / doxycycline / rifampin / ceftazidime / levofloxacin / sulfamethoxazole / trimethoprim / gentamicin / ampicillin / ciprofloxacin / azithromycin / cefotaxime / ceftriaxone / mail / /

ProvinceOrState

New Jersey / Columbia US Postal Service / Virginia / New York / Connecticut / District of Columbia / Georgia / Florida / North Carolina / /

Region

former Soviet Union / /

Technology

X-ray / tomography / antibodies / /

SocialTag