Yersinia pestis infection differential diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]

Overview

The differential diagnosis for yersina pestis infection depends on the clinical syndrome (bubonic plague, septicimic plague, pneumonic plague, or pharyngeal plague). Bubonic plague should be differentiated from other causes of lymphadenopathy such as streptococcal or staphylococcal lymphadenitis, infectious mononucleosis, cat-scratch fever, and tularemia. Septicemic plague should be differentiated from non-specific sepsis syndrome and gram negative sepsis. The differential diagnosis for pneumonic plague includes infections that cause community-acquired pneumonia such as pneumococcal or streptococcal pneumonia, viral pneumonia, hemophilus influenzae, and anthrax.[1]

Differential Diagnosis

Bubonic Plague

Conditions that cause lymphadenopathy:[1]

Conditions that cause intra-abdominal lymphadenopathy:[1]

Condition that causes inguinal lymphadenopathy:[1]

Septicemic Plague

Pneumonic Plague

Infections that cause community-acquired pneumonia:[1]

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 Plague Manual: Epidemiology, Distribution, Surveillance. World Health Organization. Communicable Disease Surveillance and Response and Control. WHO/CDS/CSR/EDC/99.2



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