Abstract

We investigated a cluster of 5 plague cases; the patients included 4 with severe pharyngitis and submandibular lymphadenitis. These 4 case-patients had eaten raw camel liver. Yersinia pestis was isolated from bone marrow of the camel and from jirds (Meriones libycus) and fleas (Xenopsylla cheopis) captured at the camel corral.

Highlights

  • We investigated a cluster of 5 plague cases; the patients included 4 with severe pharyngitis and submandibular lymphadenitis

  • Domestic cats and other carnivores may be infected by eating infected animals, only 1 previous report raises the possibility of human plague infection from eating meat of an infected animal (4)

  • The Study In February 1994, we investigated a cluster of 5 plague cases in Goriat, a town of 50,000 persons in a remote desert area in northwestern Saudi Arabia

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Summary

Introduction

We investigated a cluster of 5 plague cases; the patients included 4 with severe pharyngitis and submandibular lymphadenitis. Human plague is acquired most often from the bites of infected fleas that leave their rodent hosts. Sporadic plague has been attributed to domestic dogs and cats that may transport either Yersinia pestis in their mouths or infected fleas from rodent hosts to humans (1).

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