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ARTICLE |

Clinical Recognition and Management of Patients Exposed to Biological Warfare Agents

David R. Franz, VC; Peter B. Jahrling, PhD; Arthur M. Friedlander, MC; David J. McClain, MD; David L. Hoover, MC; W. Russell Bryne, MC; Julie A. Pavlin, MC; George W. Christopher, MC; Edward M. Eitzen Jr, MC
JAMA. 1997;278(5):399-411. doi:10.1001/jama.1997.03550050061035.
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Concern regarding the use of biological agents—bacteria, viruses, or toxins—as tools of warfare or terrorism has led to measures to deter their use or, failing that, to deal with the consequences. Unlike chemical agents, which typically lead to violent disease syndromes within minutes at the site of exposure, diseases resulting from biological agents have incubation periods of days. Therefore, rather than a paramedic, it will likely be a physician who is first faced with evidence of the results of a biological attack. We provide here a primer on 10 classic biological warfare agents to increase the likelihood of their being considered in a differential diagnosis. Although the resultant diseases are rarely seen in many countries today, accepted diagnostic and epidemiologic principles apply; if the cause is identified quickly, appropriate therapy can be initiated and the impact of a terrorist attack greatly reduced.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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