(Pneumonic Plague; Bubonic Plague; Septicemic Plague; Pharyngeal Plague)
- Pneumonic—in the lungs, from breathing in droplets or as a progression of another type
- Bubonic—in the lymph nodes, occurring after a flea bite
- Septicemic—a body system-wide infection, occurring after a flea bite
|Pneumonic Plague Transmission|
|Droplets from an infected person are inhaled into the lungs.|
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- Exposure to the bacteria
- Contact with fleas or infected rodents
- Living in the Southwest United States
- Bloody or watery mucous
- Difficulty breathing
- Chest pain
- Swollen, tender lymph nodes
- Skin may appear red and tight over affected lymph nodes
- Bleeding under the skin
- Black fingers, toes, or nose
- Blood tests to look for indications of an infection
- Blood test to detect antibodies to plague bacteria
- Examining body fluids using special techniques
- Culture of body fluids to check for bacteria
- Chest x-ray to look for signs of infection in the lungs
Supportive Care for Septicemic Plague
- Reduce or control rodent population near your home
- Wear gloves when handling or skinning animals to protect contact with your skin
- Use insect repellent containing DEET when you are outside
- Keep fleas off your pets by using flea control products
- Keep dogs and cats from sleeping in your bed if they roam in endemic areas
Centers for Disease Control and Prevention http://www.cdc.gov
Johns Hopkins' Office of Critical Event Preparedness and Response (CEPAR) http://www.hopkins-cepar.org
Health Canada http://www.hc-sc.gc.ca
Public Health Agency of Canada http://www.phac-aspc.gc.ca
Consensus statement, plague as a biological weapon: Medical and public health management. JAMA. 2000;283(17):2281-2290.
Plague. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/plague. Updated November 28, 2012. Accessed May 24, 2013.
Plague. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 1, 2013. Accessed May 24, 2013.
- Reviewer: David L. Horn, MD, FACP
- Review Date: 05/2014 -
- Update Date: 06/20/2014 -
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