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Staphylococcal Enterotoxin B
Aka: Staphylococcal Enterotoxin B, SEB
- See Also
- Bioterrorism
- Pathophysiology
- Mechanism
- SEB is one of several staphylococcal enterotoxins
- Coagulase positive staphylococci
- Transmission
- Foodborne Illness
- Church picnic or community events
- Could contaminate small volume water supply
- Aerosolized Biological warfare agent
- Incapacitating Agent
- Low mortality
- Can render >80% exposed incapacitated x1-2 weeks
- Symptom Onset
- Occurs 3-12 hours after aerosol exposure
- Symptoms and Signs
- General
- Symptoms occur in >80% of exposed clinically ill
- Fever to 103 to 105 F for 2-5 days
- Chills
- Headache
- Myalgia
- Conjunctival injection
- Higher exposure may lead to Septic Shock, death
- Aerosolized exposure (Biological Weapon)
- Nonproductive cough for up to 4 weeks
- Retrosternal Chest Pain
- Shortness of Breath
- Ingestion exposure (Foodborne Illness)
- Nausea or Vomiting
- Diarrhea
- Radiology: Chest XRay
- Normal except in severe cases
- Differential Diagnosis
- Respiratory pathogens
- Influenza
- Adenovirus
- Mycoplasma
- Foodborne Illness
- Other aerosolized toxins
- Pulmonary Anthrax
- TularemiaPneumonia
- Pneumonic Plague
- Q Fever
- Prevention
- Protective mask
- No human Vaccine
- Course
- Generally low mortality
- Clinical illness persists 1-2 weeks