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While the United States has taken steps to prepare for smallpox bioterrorism event, the nation remains starkly vulnerable to a genetically engineered strain of the deadly virus.
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The Department of Defense (DoD) has halted mandatory anthrax vaccinations of military personnel after a ruling by the U.S. District Court for the District of Columbia.
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A large number of potentially suspicious letters and packages continue to be reported to federal, state, and local law enforcement and emergency response agencies nationwide, the Nov. 2, 2004, report states. In some instances, these letters or packages may include powders, liquids, or other materials.
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The federal government has awarded $232 million to fund research and development of new vaccines against three potential agents of bioterrorism: smallpox, plague, and tularemia.
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A previously healthy patient presented with a two-day history of nausea, vomiting, hemoptysis, shortness of breath, and fever. His chest X-ray was abnormal, and his WBC on admission was 12,000/mm3, subsequently rising to a peak of 22,400/mm3.
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A 38-year-old man returned to the united States from west Africa. He had spent the last 4 months in Liberia and Sierra Leone where he owned farms. Two days before his August 2004 return, he developed fever, chills, and severe sore throat, and shortly after his arrival, he was hospitalized with, in addition to these complaints, diarrhea and back pain.
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A retrospective review of 1387 cases of salmonellosis revealed that almost half of cases in children younger than 5 years of age were associated with reptilecontact.
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Tropical pulmonary eosinophilia must be considered in patients with asthma-like symptoms and significant eosinophilia, who have resided in areas endemic for lymphatic filariasis.
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Although pediatric cardiac diseases infrequently are seen in the emergency department (ED), early diagnosis and aggressive management is critical. Most importantly, the clinician must include these diseases in their differential and have a thorough understanding of typical and atypical presentations for congenital heart disease, dysrhythmias, myocarditis and pericarditis. Any child who has a clinical presentation suggestive of cardiac disease, must receive appropriate diagnostic testing and timely referral to optimize the childs outcome. The authors provide a thorough, focused review of the most commonly encountered cardiac diseases in the ED and key aspects to stabilization.
