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Bubonic plague.

J T Morris1, C K McAllister

  • 1Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX 78234-6200.

Southern Medical Journal
|March 1, 1992
PubMed
Summary
This summary is machine-generated.

A young man developed plague symptoms, including fever and swollen lymph nodes, after insect bites during military exercises in California. Prompt antibiotic treatment with streptomycin and chloramphenicol led to a full recovery.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Public Health

Background:

  • Military exercises can expose individuals to zoonotic diseases.
  • Insect bites are a potential vector for pathogen transmission.
  • Yersinia pestis causes plague, a serious bacterial infection.

Observation:

  • A 19-year-old male presented with acute symptoms post-military exercise.
  • Symptoms included shaking chills, headache, and bilateral inguinal adenopathy.
  • Insect bites on lower extremities preceded symptom onset.

Findings:

  • Physical examination revealed exquisitely tender inguinal and femoral nodes.
  • Needle aspirate from an inguinal node confirmed Yersinia pestis.
  • The patient was diagnosed with plague.

Implications:

  • Early diagnosis and treatment are crucial for plague management.
  • Streptomycin and chloramphenicol are effective treatments for plague.
  • This case highlights the risk of plague transmission in endemic areas.