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Volume 10, Number 9—September 2004

Synopsis

Laboratory Exposures to Staphylococcal Enterotoxin B

Janice M. Rusnak*Comments to Author , Mark Kortepeter*, Robert Ulrich*, Mark Poli*, and Ellen Boudreau*
Author affiliations: *United States Army Medical Research Institute of Infectious Diseases, Fort Detrick, Maryland, USA

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Table

Signs and symptoms of inhalational intoxication to staphylococcal enterotoxin B

Signs and symptoms Event 1a (1963)
N = 2 Event 2b (1963)
N = 4 Event 3 (1964)
N = 10 Total (%)
Generalized
  Fever 2 4 9 15/16 (93.7)
  Chills 2 2 9 13/16 (81.3)
  Headache 2 2 9 13/16 (81.3)
  Myalgia 2 1 8 11/16 (68.7)
  Fatigue NDc 2 8 10/14 (71.4)
  Malaise ND 2 7 9/14 (64.3)
Lower respiratory
  Cough 2 3 10 15/16 (93.7)
  Dyspnea 2 2 4 8/16 (50.0)
  Retrosternal or chest pain ND 3 5 8/14 (57.1)
  Wheezing 1 0 1 2/16 (12.5)
Gastrointestinal
  Nausea 2 4 6 12/16 (75.0)
  Vomiting 2 3 4 9/16 (56.3)
  Anorexia 2 2 5 9/16 (56.3)
  Abdominal cramps ND 1 2 3/14 (21.4)
  Diarrhead 2 0 0 2/16 (12.5)
  Gas ND 0 1 1/14 (7.1)
  Hepatitis 0 0 1 1/14 (7.1)
Upper respiratory
  Pharyngeal injection ND 2 3 5/14 (35.7)
  Rhinorrhea, postnasal drip, or sinus congestion ND 2 2 4/14 (28.6)
  Sore throat ND 1 2 3/14 (21.4)
  Otitis ND 1 1 2/14 (14.3)
  Hoarseness ND 0 1 1/14 (7.1)
Other
  Conjunctival injection ND 2 2 4/14 (28.6)
  Burning eyes ND 0 1 1/14 (7.1)
  Flushed face ND 1 0 1/14 (7.1)

aOnly occupational summary reports reviewed (medical records not available).
bNo records available on the one nonhospitalized symptomatic person.
cND, no data.
dLoose stools noted in one person in the second and the third events.

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