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City New York / Paris / London / / Company Gall / Crompton / Business Media Inc. / / Continent America / Africa / Asia / Europe / / Country Bulgaria / Egypt / United States / Soviet Union / Canada / United Kingdom / Iraq / / Event Person Travel / Product Issues / Extinction / / Facility The complex / Pulmonary infiltrates Leukocytosis Laboratory / Laboratory Findings / / IndustryTerm castor oil / favorite tool / injection site / concentrated ricin solution / oil / food / homemade equipment / adequate personal protective equipment / chemical and biological agents / / MedicalCondition inhalational anthrax / glanders / Allergic reaction / renal necrosis / headaches / muscle and regional lymph node necrosis / smallpox / yellow fever / ricin poisoning / diphtheria / nausea / hemorrhagic necrosis / anaphylaxis / fatigue / Nonproductive cough Nausea / gastrointestinal hemorrhage / pulmonary edema / septic shock-like syndrome / poisoning / infectious agent / diarrhea / community-acquired pneumonia / Fever X-ray Bilateral infiltrates Pulmonary edema Neutrophilic leukocytosis Pulmonary / gastrointestinal irritation / multidrug-resistant tuberculosis / hypotension / Q fever / acute lung injury / neutrophilic leukocytosis / pneumonia / necrosis / hemorrhagic fever / severe poisoning / cancer / vascular endothelial injury / dyspnea / Ebola / chills / shock / brucellosis / Dyspnea Chest discomfort Headache Tachycardia Respiratory failure Shock Meningitis / fever / colicky abdominal pain / plague / tularemia / pain / vomiting / diseases / muscle aches / cough / anthrax / respiratory distress / dehydration / / MedicalTreatment folk medicine / positive end-expiratory pressure / hemodialysis / / MusicGroup Nausea / / Organization infiltrates Leukocytosis Laboratory / Center for Disease Control / Centers for Disease Control and Prevention / U.S. Postal Service / Bulgarian government / Parenteral administration / United States Army / British police / / Person Sarah Efrati / Vladimir Kostov / Yoav Yehezkelli / Maor Maman / Sandvig Deurs / Differential Diagnoses Inhalational / Van Deurs / Georgi Markov / / Position Mayor / Major / marshal / novelist / / Product Intravenous injection / Subcoutaneous injection / dimethyl sulfoxide / area / / ProvinceOrState Minnesota / New York / / Technology X-ray / antibodies / / SocialTag 
8 Ricin: A Possible, Noninfectious Biological Weapon Maor Maman, MD, and Yoav Yehezkelli, MD 1. INTRODUCTION