Two epidemiological cycles of plague:
Sylvatic cycle with wild rodent reservoirs (e.g., prairie dogs, rock squirrels) and wild rodent flea vectors
Urban or domestic cycle with domestic rat reservoir and Oriental rat flea vector
Two clinical forms of epidemic plague:
Bubonic plague with characteristic lymph node (buboes) swelling which may progress to secondary pneumonic plague
Primary pneumonic plague is spread by infectious respiratory aerosols and is highly contagious
Common cause of enterocolitis in Scandinavian and colder areas of North America
Some studies show increased incidence during colder months which leads to the speculation that this organism may be more clinically active in cold climates, a hypothesis that parallels the observed increased metabolic activity at 22oC to 25oC
Epidemic outbreaks have been associated with contaminated meat or milk
In 1987, blood-transfusion related bacteremia and endotoxic shock was reported with organisms apparently able to survive and grow in nutritionally rich blood products that are stored by prolonged refrigeration
See CDC Emergency Preparedness & Response Plague Information
See KCOM Related Lecture Outline WebSite
See Virtual Museum of Bacteria Related WebSite
See Family Practice Notebook Related WebSite
See SIU Related Lecture Outline WebSite
See ASM Yersinia pestis Journal Review
Genus
Yersinia has 11 species; 3 species are important human pathogens
See family Enterobacteriaceae
Yersinia pestis (see WebLinked image)
Yersinia pestis
- Bubonic plague
- Pneumonic plague
Yersinia enterocolitica
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Yersinia pseudotuberculosis
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Zoonotic infections; humans are accidental hosts
Two epidemiological cycles of plague
- Domestic (urban) plague
- Sylvatic plague
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