We defined a probable pneumonic plague case as respiratory illness of acute onset with cough producing grossly bloody sputum during December 2004 in Kango Subcounty, Nebbi District, Uganda.
Overall, compared with index patients, caregivers' illnesses progressed more rapidly, including quicker bloody sputum onset (mean 1 vs.
Coughing, first noted on day 5, became productive a day later and bloody sputum was noted on day 7.
His cough became productive with bloody sputum on day 5 of illness, and he died on day 6.
On her arrival at Nyapea Hospital, a grossly bloody sputum sample was obtained (Figure 1A).
touched) after onset of cough productive of bloody sputum and before death, but only the 2 primary caregivers became ill (attack rate 2/25, 8%).
The night before index patient B 1 's death, he slept in the same bed as his 6-yearold daughter until the early morning, when his wife noted he was very ill and coughing bloody sputum.
Past clinical history showed an evaluation of productive cough in 1996, with bloody sputum
, night sweats, and intermittent fever; she underwent bronchoscopy with pathologic examination, which showed vascular congestion and focal intra-alveolar edema, but no specific pathogen was identified.