Yersinia pestis infection differential diagnosis
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Differentiating Yersinia Pestis Infection from other Diseases |
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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]
- Streptococcal or staphylococcal lymphadenitis
- Infectious mononucleosis
- Cat-scratch fever
- Lymphatic filariasis
- Tick typhus
- Tularemia
Conditions that cause intra-abdominal lymphadenopathy:[1]
Condition that causes inguinal lymphadenopathy:[1]
Septicemic Plague
- Non-specific sepsis syndrome
- Gram negative sepsis[1]
Pneumonic Plague
Infections that cause community-acquired pneumonia:[1]
- Pneumococcus
- Streptococcus
- Haemophilus influenzae
- Anthrax
- Tularaemia
- Legionella pneumophila
- Leptospirosis
- Hantavirus pulmonary syndrome
- Influenza
- Viruses
References