Last reviewed: November 2017
Last updated: August  2017

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • constitutional symptoms
  • lymphadenitis (bubonic plague)
  • haemoptysis (pneumonic plague)
  • diarrhoea (yersiniosis)
  • abdominal pain (yersiniosis)

Other diagnostic factors

  • pleuritic chest pain (pneumonic plague)
  • dyspnoea (pneumonic plague)

Risk factors

  • exposure to fleas (plague)
  • exposure to people with plague (plague)
  • residence in, or travel to, an endemic area (plague)
  • contact with infected animals (plague)
  • young children (yersiniosis)
  • consumption of raw or undercooked pork products (yersiniosis)
  • iron-overload syndromes (yersiniosis)
  • chronic liver disease, diabetes, alcoholism (yersiniosis)

Diagnostic investigations

1st investigations to order

  • blood culture (plague)
  • bubo aspirate culture (bubonic plague)
  • sputum culture (pneumonic plague)
  • CSF culture (septicemic plague)
  • antigen detection (plague)
  • WBC count (plague)
  • CXR (pneumonic plague)
  • stool culture (yersiniosis)
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

John Williams

Consultant Infectious Diseases Physician

Department of Infection and Travel Medicine

The James Cook University Hospital

Middlesbrough

UK

Disclosures

JW declares that he has no competing interests.

Peer reviewers VIEW ALL

Professor

Pathology/Microbiology and Immunology

University of Texas Medical Branch

Galveston

TX

Disclosures

VLM declares that he has no competing interests.

Associate Professor

Medical Director of Infection Control

Infectious Disease

Department of Medicine

SUNY Upstate Medical University

Syracuse

NY

Disclosures

WJ declares that he has no competing interests.

Consultant Microbiologist

Microbiology Department

Southern General Hospital

Glasgow

UK

Disclosures

AL declares that he has no competing interests.

Associate Professor of Medicine

Division of Infectious Diseases

Department of Internal Medicine

Southern Illinois University School of Medicine

Springfield

IL

Disclosures

JK declares that he has no competing interests.

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