Document Detail

Cases of cat-associated human plague in the Western US, 1977-1998.
MedLine Citation:
PMID:  10852811     Owner:  NLM     Status:  MEDLINE    
Exposure to cats infected with Yersinia pestis is a recently recognized risk for human plague in the US. Twenty-three cases of cat-associated human plague (5 of which were fatal) occurred in 8 western states from 1977 through 1998, which represent 7.7% of the total 297 cases reported in that period. Bites, scratches, or other contact with infectious materials while handling infected cats resulted in 17 cases of bubonic plague, 1 case of primary septicemic plague, and 5 cases of primary pneumonic plague. The 5 fatal cases were associated with misdiagnosis or delays in seeking treatment, which resulted in overwhelming infection and various manifestations of the systemic inflammatory response syndrome. Unlike infections acquired by flea bites, the occurrence of cat-associated human plague did not increase significantly during summer months. Plague epizootics in rodents also were observed less frequently at exposure sites for cases of cat-associated human plague than at exposure sites for other cases. The risk of cat-associated human plague is likely to increase as residential development continues in areas where plague foci exist in the western US. Enhanced awareness is needed for prompt diagnosis and treatment.
K L Gage; D T Dennis; K A Orloski; P Ettestad; T L Brown; P J Reynolds; W J Pape; C L Fritz; L G Carter; J D Stein
Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2000-06-13
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  30     ISSN:  1058-4838     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-09-12     Completed Date:  2000-09-12     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  893-900     Citation Subset:  IM    
Bacterial Zoonoses Branch, Division of Vector-Borne Infectious Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, CO 80522, USA.
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MeSH Terms
Cat Diseases* / microbiology
Middle Aged
Plague / epidemiology*,  microbiology,  transmission*,  veterinary
Risk Factors
United States / epidemiology
Yersinia pestis / isolation & purification*

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