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Plague
C Glenn Cobbs1, David H Chansolme
1Division of Infectious Disases, Department of Medicine, School of Medicine, University of Alabama at Birmingham, THT 229, 1530 3rd Avenue South, Birmingham, AL 35294, USA. gcobbs@uab.edu
Abstract:
Plague is a disease that has been present for thousands of years and described since the earliest medical accounts. It occurs today worldwide, and may present in a variety of clinical forms. Bubonic disease, pneumonic plague, and septicemic plague are seen in addition to a number of other less common manifestations. As an agent of bioterrorism,Yersinia pestis could pose an extreme threat if released in the appropriate form and in the appropriate environment. Presumptive diagnosis may be made with readily available techniques, but laboratory handling of specimens requires special care. When there is a strong suspicion of plague, treatment should be instituted immediately, as delaying therapy will result in increased morbidity and mortality.
Insights
Plague, a disease caused by Yersinia pestis, remains a global threat with diverse clinical forms. Early diagnosis and immediate treatment are crucial to reduce severe outcomes and mortality.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Plague is an ancient infectious disease with a worldwide distribution.
- It manifests in several clinical forms, including bubonic, pneumonic, and septicemic plague.
- Yersinia pestis poses a significant bioterrorism risk.
Purpose of the Study:
- To provide an overview of plague, its clinical presentations, and its potential as a bioterrorism agent.
- To emphasize the importance of prompt diagnosis and treatment.
Main Methods:
- Review of historical and contemporary medical literature on plague.
- Discussion of clinical manifestations and diagnostic considerations.
- Assessment of Yersinia pestis as a potential bioterrorism threat.
Main Results:
- Plague presents globally in various forms, such as bubonic, pneumonic, and septicemic.
- Early presumptive diagnosis is possible with standard techniques.
- Laboratory handling of specimens requires specialized precautions.
Conclusions:
- Immediate treatment initiation upon suspicion of plague is critical.
- Delayed therapy significantly increases morbidity and mortality.
- Understanding plague's diverse presentations and bioterrorism potential is vital for public health preparedness.
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