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Pediatric plague

J M Mann, L Shandler, A H Cushing

    Pediatrics
    |June 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Human plague cases, particularly in children, are increasing in the American West. Primary septicemic plague is more fatal than bubonic plague, highlighting the need for early diagnosis and treatment.

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    Area of Science:

    • Epidemiology
    • Infectious Diseases
    • Public Health

    Background:

    • The American West harbors a significant animal plague reservoir, leading to human cases.
    • Pediatric plague cases have notably increased, comprising the majority of recent occurrences.
    • Plague poses a public health concern due to potential for pneumonia and travel-related spread.

    Purpose of the Study:

    • To review epidemiologic, clinical, and laboratory features of pediatric plague in New Mexico.
    • To compare outcomes between bubonic and primary septicemic plague in children.
    • To identify key diagnostic and public health implications of pediatric plague.

    Main Methods:

    • Retrospective review of 38 pediatric plague cases in New Mexico.
    • Analysis of demographic, clinical presentation, and laboratory data.

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  • Comparison of case-fatality ratios and complication rates between plague subtypes.

    • Main Results:

    • Most pediatric cases (82%) were bubonic plague; 18% had primary septicemic plague.
    • Primary septicemic plague showed a significantly higher case-fatality ratio (71%) and risk of plague pneumonia (57%).
    • Symptoms were consistent with acute febrile illness; diagnosis was often delayed, with travel to the West being a key clue.

    Conclusions:

    • Pediatric plague is an increasing concern in the American West, with septicemic form being particularly severe.
    • Prompt recognition of clinical signs and consideration of geographic/seasonal risk factors are crucial for early diagnosis.
    • Public health strategies must address the rising pediatric cases and potential for disease transmission.