166 - Plague and other Yersinia infections Flashcards
Yersinia pestis incubates for _-days, then a surge of __ (>) together with 4.
2-4 fever 38 nausea myalgia vertigo pain+ lymphadenitis
In Bubonic plague, the __ will occur near the bite. It will be __ and __. The main areas are __ and __.
lymphadenitis swollen red axillar cervical
What is the DDx for Bubonic plague? 5
strep staph tick typhus cat-scratch mononucleosis
What is the main difference between Bubonic plague and the rest of the DDx?
fast progression
painful
no cellulitis
Untreated plague may progress to __ and __. When treated the fever will disappear after - days.
pneumonia
meningitis
2-5
Primary septicemic plague will present with __ but no __. Patients > __ are more in risk, together with the following co-morbidities: __ and __
sepsis lymphadenopathy 40 diabetes hemochromatosis
Pneumonic plague acquires from droplets aspiration. Short incubation __-__ days, followed by sudden symptoms: 5.
2-3 fever headache + myalgia lethargy nausea + vomiting respiratory symptoms
What are the respiratory symptoms in pneumonic plague?
hemoptysis
dyspnea
chest pain
__ and __ are two of the least common manifestations of plague
meningitis
pharyngitis
When treating plague- give ABx for - days or until 2 days free of __
10-14
fever
What is the recommended ABx for plague? mention 3 other alternatives.
streptomycin (aminoglycoside)
gentamycin (aminoglycoside)
levofloxacin/ciprofloxacin (fluoroquinolones)
doxycycline (tetracycline)
If a person came in contact with a plague patient, give prophylactic ABx (__) for _ days.
levofloxacin/ciprofloxacin
7
