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. 1986 Oct;145(4):485–487.

Plague Masquerading as Gastrointestinal Illness

Harry F Hull 1, Jean M Montes 1, Jonathan M Mann 2
PMCID: PMC1306978  PMID: 3788132

Abstract

In clinical descriptions of human plague, fever and tender lymphadenitis are emphasized and gastrointestinal manifestations are rarely mentioned. A review of 71 human plague cases showed that gastrointestinal symptoms occurred commonly (57%). Vomiting (39%) was the most frequent symptom, with nausea (34%), diarrhea (28%) and abdominal pain (17%) occurring less often. Physicians treating patients who reside in or have recently visited plague-endemic areas should include plague in the differential diagnosis in the presence of gastrointestinal symptoms and fever.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Burkle F. M., Jr Plague as seen in South Vietnamese children. A chronicle of observations and treatment under adverse conditions. Clin Pediatr (Phila) 1973 May;12(5):291–298. doi: 10.1177/000992287301200512. [DOI] [PubMed] [Google Scholar]
  2. Butler T., Levin J., Do Quang C. u., Walker R. I. Bubonic plague: detection of endotoxemia with the limulus test. Ann Intern Med. 1973 Nov;79(5):642–646. doi: 10.7326/0003-4819-79-5-642. [DOI] [PubMed] [Google Scholar]
  3. Jones A. M., Mann J., Braziel R. Human plague in New Mexico: report of three autopsied cases. J Forensic Sci. 1979 Jan;24(1):26–38. [PubMed] [Google Scholar]
  4. Kaufmann A. F., Boyce J. M., Martone W. J. From the Center for Disease Control. Trends in human plague in the United States. J Infect Dis. 1980 Apr;141(4):522–524. doi: 10.1093/infdis/141.4.522. [DOI] [PubMed] [Google Scholar]
  5. LaForce F. M., Acharya I. L., Stott G., Brachman P. S., Kaufman A. F., Clapp R. F., Shah N. K. Clinical and epidemiological observations on an outbreak of plague in Nepal. Bull World Health Organ. 1971;45(6):693–706. [PMC free article] [PubMed] [Google Scholar]
  6. Palmer D. L., Kisch A. L., Williams R. C., Jr, Reed W. P. Clinical features of plague in the United States: the 1969-1970 epidemic. J Infect Dis. 1971 Oct;124(4):367–371. doi: 10.1093/infdis/124.4.367. [DOI] [PubMed] [Google Scholar]
  7. Seeler R. A., Jacobs N. M. Diarrhea in Streptococcus pneumoniae bacteremia. Am J Hematol. 1980;8(3):309–314. doi: 10.1002/ajh.2830080309. [DOI] [PubMed] [Google Scholar]
  8. Washington R. L., Barkin R. M., Hillman J. R. Septicemic plague that mimics Reye's syndrome. Am J Dis Child. 1979 Apr;133(4):434–435. doi: 10.1001/archpedi.1979.02130040088018. [DOI] [PubMed] [Google Scholar]
  9. Werne C. S. Gastrointestinal disease associated with meningococcemia. Ann Emerg Med. 1984 Jun;13(6):471–473. doi: 10.1016/s0196-0644(84)80017-7. [DOI] [PubMed] [Google Scholar]

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