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May 25, 2013
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Plague (cont.)

Medical Author:
John P. Cunha, DO, FACOEP

John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.

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Medical Editor:
Charles Patrick Davis, MD, PhD
Charles Patrick Davis, MD, PhD
Charles Patrick Davis, MD, PhD

Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

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Plague Signs and Symptoms and Signs

  • Common general symptoms
  • Bubo: This is an enlarged, tender, swollen lymph gland most commonly found in the groin, under the arms, or on the neck, depending on the locations of the flea bite.
  • Skin: Bleeding into the tissues can turn tissue black. The medieval name black death is thought to have originated from the deeply darkened skin, bleeding, vomiting blood, and tissue death associated with septicemic and pneumonic plague. The initially rose-colored lesions most likely inspired the child's nursery rhyme "Ring Around the Rosy."
    • "Ring around the rosy" -- rose-colored areas of skin
    • "Pocket full of posies" -- sweet-smelling flowers that those tending the sick would carry to ward off the stench of disease
    • "Ashes, ashes" -- impending death (or "A-choo, a-choo" - The sneezing and coughing of those with pneumonic plague)
    • "All fall down" -- death

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Plague »

Plague, first described in the Old Testament, has persisted into the modern era.

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