Bubonic plague chest x ray

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

Overview

The major form of the plague that will be present on a chest x-ray will be pneumonic plague. Pneumonic plague is caused by the same bacteria that gives rise to the bubonic plague, but it is just located in a different area of the body. The bubonic plague is an infection of the lymphatic system, whereas pneumonic plague is an infection of the respiratory system. Normally, the pneumonic form is developed due to an initial spread of the bubonic form. It commonly presents with coughing accompanied by hemoptysis Untreated, it possesses an extremely high fatality rate.

Chest X Ray

Pneumonic plague is rapidly progressive. Patients experience increasing dyspnea, stridor, and cyanosis. Rapidly progressive respiratory failure and sepsis within 2 to 4 days of onset of illness is typical of pneumonic plague.

Chest x-rays can be variable but frequently show bilateral patchy infiltrates or consolidation, such as the image below.

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