Diagnosis and management of suspected cases of bioterrorism: a pediatric perspective

Since October 3, 2001, the Centers for Disease Control and Prevention and other organizations have been investigating potential bioterrorist-related anthrax cases. The pediatrician may be faced with complex issues related to diagnosis and treatment of illnesses caused by intentionally released biolo...

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Bibliographic Details
Published inPediatrics (Evanston) Vol. 109; no. 4; p. 685
Main Authors Patt, Hanoch A, Feigin, Ralph D
Format Journal Article
LanguageEnglish
Published United States 01.04.2002
Subjects
Anthrax - complications
Anthrax - diagnosis
Bacterial Infections - complications
Bacterial Infections - diagnosis
Bacterial Infections - therapy
Bioterrorism - classification
Bioterrorism - prevention & control
Botulism - diagnosis
Child
Diagnosis, Differential
Exanthema - etiology
Fever - etiology
Humans
Mycotoxicosis - diagnosis
Mycotoxicosis - therapy
Plague - complications
Plague - diagnosis
Respiratory Tract Diseases - etiology
Ricin - adverse effects
Smallpox - complications
Smallpox - diagnosis
United States
Virus Diseases - complications
Virus Diseases - diagnosis
Virus Diseases - therapy
United States
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Summary:Since October 3, 2001, the Centers for Disease Control and Prevention and other organizations have been investigating potential bioterrorist-related anthrax cases. The pediatrician may be faced with complex issues related to diagnosis and treatment of illnesses caused by intentionally released biological agents. The agents that pose a major potential bioterrorist threat are reviewed by the clinical syndromes they produce: acute respiratory distress with fever, influenza-like illnesses, acute rash with fever, neurologic syndromes, and blistering syndromes. Specific and detailed diagnostic, treatment, and prophylaxis information is provided for anthrax, plague, tularemia, smallpox, botulism, viral hemorrhagic fevers, and other diseases. In cases of suspected bioterrorism, the pediatrician must be able to obtain diagnostic and treatment information efficiently and expeditiously. The system controlling the interaction between public and nonpublic health laboratories in suspected cases of bioterrorism is described. Finally, information regarding emergency contacts and links to educational resources is provided.
ISSN:1098-4275
DOI:10.1542/peds.109.4.685