Incubation is generally 3-4 weeks but may be as short as 1 week or as long as several months.
"Flu-like" symptoms including chills, sweats, headache, fatigue, loss of appetite and muscle or joint aches. A cough occurs in 15-25%, but the chest x-ray usually is normal. Symptoms often last 3-6 months and occasionally for longer than a year.
How does it spread?
Human-to-human transmission has occurred after sexual activity
with an infected partner and via tissue transplants. Most cases
are associated with eating unpasteurized dairy products, or with
slaughter house and veterinary work.
Diagnosis can't be made quickly. Blood cultures require a 2 month
incubation period. Bone marrow cultures produce a higher yield.
Antibiotic treatment usually consists of doxycycline + rifampin
or doxycycline in combination with other medications for 6 weeks.
Specifics on treatment can be found here
None available for people, but they are available for animals.
Fatalities aren't common - seen in about 5% of untreated cases
Federation of American Scientists; http://www.fas.org/nuke/intro/bw/agent.htm
USAMRIID's Medical Management of Biological Casualties Handbood; Fourth Edition February 2001; pages 9-10; http://usamriid.detrick.army.mil/education/bluebook/bluebook.pdf
All contents © 2001 Stan and Holly Deyo. All rights reserved.
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