Bubonic plague differential diagnosis: Difference between revisions

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==Overview==
==Overview==
There are many diseases that resemble the basic [[signs]] and [[symptoms]] of bubonic plague. Since bubonic plague has the ability to kill the majority of a population, it is an extremely concerning diagnosis. Given the grave nature of bubonic plague, it is critical to exclude other diagnoses before a final diagnosis of bubonic plague is made.
Bubonic plague must be differentiated from other diseases that also cause smooth, painful [[lymph node swelling]] called a [[bubo]], [[chills]], [[malaise]] ([[not feeling well]]), high [[fever]], [[muscle pain]], [[headache]], and [[seizures]].   Since bubonic plague has the ability to spread in an epidemic fashion with a high mortality rate, it is an extremely grave diagnosis for both the patient and the population. Given the grave nature of bubonic plague, it is critical to exclude other diagnoses before a final diagnosis of bubonic plague is made.


==Differentiating Bubonic Plague from other Diseases==
==Differentiating Bubonic Plague from other Diseases==

Revision as of 16:40, 23 July 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Bubonic plague must be differentiated from other diseases that also cause smooth, painful lymph node swelling called a bubo, chills, malaise (not feeling well), high fever, muscle pain, headache, and seizures. Since bubonic plague has the ability to spread in an epidemic fashion with a high mortality rate, it is an extremely grave diagnosis for both the patient and the population. Given the grave nature of bubonic plague, it is critical to exclude other diagnoses before a final diagnosis of bubonic plague is made.

Differentiating Bubonic Plague from other Diseases

Bubonic Plague

  • Cat scratch fever (Bartonella henselae)
    • History of contact with cats; usually history of cat scratch.
    • Indolent clinical course; progresses over weeks.
    • Primary lesion at site of scratch often present (small papule, vesicle).
    • Systemic toxicity not present.
  • Chancroid (Haemophilus ducreyi)
    • Adenitis occurs in the inguinal region.
    • Ulcerative lesion present.
    • Systemic symptoms uncommon; toxicity does not occur.
  • Primary genital herpes
    • Herpes lesions present in genital area.
    • Adenitis occurs in the inguinal region.
    • Although patients may be ill (fever, headache), severe systemic toxicity not present.
  • Strangulated inguinal hernias
    • Evidence of bowel involvement.

References