Just hit this area myself, ran into the same bug. I had half cleared the lower level and decided to check out the office with the small locked chest containing the four patient files, then turned back and saw all the NPCs were back again, the Wichts' models were showing up but the beasties weren't actually active, and the upper floor was hostile. Reloaded a quicksave from before, did the same thing, but noticed the NPCs all glitched back into existence right when I opened the locked chest with the patient files in it. Ran upstairs, all NPCs were hostile. Reloaded again, killed all enemies on the lower level, ignored the chest with the patient files. Upper floor is non-hostile. Reliably reproduced the effect several times after to make sure.
Pretty sure that chest is bugged for some reason.