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Plague in the United States: the "black death" is still alive
Annals of Emergency Medicine
|June 1, 1980
Abstract:
Plague is endemic in the western United States, but patients may present with plague anywhere in the country. Although human infections are rare, a missed diagnosis carries a mortality rate exceeding 50%, whereas prompt diagnosis and appropriate treatment reduce the case fatality rate to less than 5%. We present the case of a 55-year-old man treated for plague and review the diagnostic and therapeutic aspects of plague.
Insights
Plague, a rare but deadly disease, requires prompt diagnosis and treatment to reduce its high mortality rate. This case highlights the importance of recognizing plague symptoms, even outside endemic areas, for effective patient outcomes.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Plague is a zoonotic disease caused by the bacterium Yersinia pestis.
- It is endemic in certain regions, including the western United States.
- Human plague cases are rare but can occur anywhere.
Observation:
- A 55-year-old man presented with symptoms requiring plague treatment.
- Missed diagnosis of plague leads to a mortality rate exceeding 50%.
Findings:
- Prompt diagnosis and appropriate treatment significantly reduce the case fatality rate to less than 5% for plague.
- This case underscores the need for vigilance in diagnosing plague.
Implications:
- Early recognition and management of plague are critical for patient survival.
- Healthcare providers should consider plague in differential diagnoses, regardless of geographic location.
- Public health awareness and rapid response are essential for controlling potential outbreaks.