Migden D
Emergency Department, Gallup Indian Medical Center, New Mexico.
Ann Emerg Med. 1990 Feb;19(2):207-9. doi: 10.1016/s0196-0644(05)81811-6.
An 8-year-old Navajo boy presented to the emergency department with fever and altered mental status. Because the child lived in a plague-endemic area of the southwestern United States, antibiotics effective against Yersinia pestis were administered rapidly. Buboes were appreciated on physical examination, and the diagnosis of bubonic plague was confirmed by positive blood cultures. Characteristics and treatment of Yersinia pestis infection are discussed. The need for a high index of suspicion for the presence of plague in patients who present to the ED and who reside or have recently traveled in a plague-endemic area is emphasized.
一名8岁的纳瓦霍族男孩因发热和精神状态改变被送往急诊科。由于该儿童生活在美国西南部鼠疫流行地区，迅速给予了对鼠疫耶尔森菌有效的抗生素。体格检查发现有腹股沟淋巴结炎，血培养阳性确诊为腺鼠疫。本文讨论了鼠疫耶尔森菌感染的特征和治疗方法。强调对于前往急诊科就诊且居住在或近期去过鼠疫流行地区的患者，需要高度怀疑鼠疫的存在。
