Plague is a serious bacterial infection that's transmitted by fleas. Known as the Black Death during medieval times, today plague occurs in fewer than 5,000 people a year worldwide. It can be deadly if not treated promptly with antibiotics.
The organism that causes plague, Yersinia pestis, lives in small rodents found most commonly in rural and semirural areas of Africa, Asia and the United States. The organism is transmitted to humans who are bitten by fleas that have fed on infected rodents or by humans handling infected animals.
The most common form of plague results in swollen and tender lymph nodes — called buboes — in the groin, armpits or neck. The rarest and deadliest form of plague affects the lungs, and it can be spread from person to person.
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- Plague. Centers for Disease Control and Prevention. http://www.cdc.gov/plague/. Accessed Dec. 28, 2015.
- Centers for Disease Control and Prevention, et al. Human plague — United States, 2015. MMWR. 2015;64:918. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6433a6.htm?s_cid=mm6433a6_w. Accessed Dec. 28, 2015.
- Longo DL, et al., eds. Plague and other Yersinia infections. In: Harrison's Principles of Internal Medicine. 19th ed. New York, N.Y.: McGraw-Hill Education; 2015. http://accessmedicine.com. Accessed Dec. 28, 2015.
- Plague and other Yersinia infections. Merck Manual Professional Version. http://www.merckmanuals.com/professional/infectious-diseases/gram-negative-bacilli/plague-and-other-yersinia-infections. Accessed Dec. 28, 2015.