...we discuss the clinical manifestations of infection with specific pathogens and toxins and the best practices for managing patients exposed to bioterrorism agents. Most cases of myopericarditis ...associated with smallpox vaccination in healthy military personnel resolve without any short-term consequences. Because no studies have addressed the impact of administering vaccinia vaccine to patients with established heart disease, the precise risks in this population are not known, and any recommendations to exclude persons with 3 or more cardiovascular risk factors are based on expert consensus opinion.
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