Plague — Uganda (General Adult population)
Bubonic Plague (A20.0)
Painful, swollen lymph nodes (buboes). Fever, headache, malaise. Risk: rodent flea bites.
Pneumonic Plague (A20.2) — Notifiable
Very infectious, highly fatal — ISOLATE IMMEDIATELY. Death within 2 days if untreated. Fever, malaise, headache. Frothy blood-stained sputum. May cause respiratory and cardiac distress.
Investigations
Bubo aspirate: microscopy, culture and sensitivity. Blood and sputum: check for Yersinia pestis bacilli.
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