Except for pockets in the Southwest United States, endemic plague and transmission to humans is rare.
Plague outbreaks still occur in some le...
As plague is rare in most regions of North America, a high level of clinical suspicion based on clinical presentation and exposure history is required for accurate and timely diagnosis.
Clinical treatment includes targeted antimicrobials and supportive care.
Implement appropriate infection-control and public health measures.
Avoid creation of aerosol droplets.
CBC for hematologic toxicity of chloramphenicol
Aminoglycoside blood levels, if indicated
Clinical testing for antibiotic toxicity, if indicated
Alvarez ML, Cardineau GA. Prevention of bubonic and pneumonic plague using plant-derived vaccines. Biotechnol Adv. 2010;28(1):184–196.
Feodorova VA, Sayapina LV, Corbel MJ, et ...
A20.9 Plague, unspecified
A20.0 Bubonic plague
A20.2 Pneumonic plague
A20.7 Septicemic plague
A20.1 Cellulocutaneous plague
A20.3 Plague meningitis
A20.8 Other forms of plague
020.9 Plague, un...
Bubonic plague is endemic to the Southwestern United States.
Do not delay treatment in cases of suspected primary pneumonic plague while awaiting laboratory confirmation.
Alert public he...
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