Table 1.

Oral and Head and Neck Manifestations of Bioterrorist Agents

Disease	Anthrax	Botulism	Smallpox	Tularemia
Original term(s)	buccal ulcer, hoarseness, oral ulcer, sore throat	dry mouth	enanthema	oral ulcer, tonsillitis
Synonyms andvariants	macula,	aptyalia,	enanthem,	buccal ulceration,
	macule,	aptyalism,	enanthema,	enlargement of lymph nodes,
	mouth ulcer,	asialia,	maculopapulae,	mouth ulcer,
	papulae,	asialias,	mucous membrane eruption,	mouth ulceration,
	pain in the pharynx,	clinical xerostomia,		papulae, oral mucositis,
	pain in throat,	dry mouth,	papular rash,	lymphadenopathies,
	papule,	hyposalivation,	papule	lymphatic disease, oral ulcer,
	pharyngeal pain,	hyposalivations,		oral ulceration,
	pharynx discomfort,	hyposecretion of salivary gland,		purulent tonsillitis with lymphadenitis,
	round ulcer,	mouth became dry,		ulcer buccal,
	sore throat,	mouth dryness,		ulcer of the oral mucosa,
	throat discomfort,	odynophagia,		ulceration of oral mucosa
	throat soreness	oral dryness,
		saliva decreased,
		salivary hyposecretion,
		salivary secretion absent,
		salivary secretion
		decreased,
		xerostomia,
		xerostomias
Time of onset	simultaneous	simultaneous, patient may be	24 hrs before the systemic	simultaneous
relative to		prompted to visit the ED	rash
systemic		because of the oral
manifestations		manifestations