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The symptoms and findings suggest an outbreak of a severe respiratory illness, likely caused by an infectious agent, possibly linked to environmental exposure since multiple individuals were affected. The presence of bilateral infiltrates on chest X-rays and protein-rich bronchial aspirates indicates significant lung inflammation, potentially from conditions such as pneumonia or Acute Respiratory Distress Syndrome (ARDS). The rapid deterioration and fatalities highlight the seriousness of the situation, warranting immediate medical investigation and intervention. Such cases should be reported to public health authorities for further epidemiological assessment and to prevent further cases.

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1mo ago

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What might cause 20 coworkers to develop cough excess fluid in their lungs and difficulty breathing Chest x rays show bilateral infiltrates with bronchial aspirates rich in protein several die?

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The nerve agent that causes protein-rich bronchial aspirates and difficulty breathing is likely sarin (GB) or a similar organophosphate compound. These agents inhibit acetylcholinesterase, leading to an accumulation of acetylcholine at neuromuscular junctions, which can result in respiratory distress and bronchorrhea. The increased bronchial secretions and resultant pulmonary edema are characteristic symptoms of nerve agent exposure. Immediate medical intervention is critical in such cases.


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