Bubonic plague can progress to septicemic
plague if bacteria move from the lymphatic into the circulatory system.
Mortality rates were highest among patients with septicemic
(89%) and pneumonic (93%) forms of infection (Table 2).
PEP should be recommended for laboratory manipulations or incidents that result in exposure to aerosols or droplets or contact with nonintact skin and for persons with risk factors for septicemic
However, intentional release should be considered as a cause of cases occurring outside an area where plague is endemic, particularly for patients with primary pneumonic or primary septicemic
pestis, whereas body lice collected from septicemic
patients were positive according to guinea pig inoculation results (2).
Initially patients have symptoms of epigastric tenderness, vomiting and may progress to peritonitis and septicemic
The 13-year-old patient (patient 1) had a septicemic
syndrome 2 days after admission and died on June 11 despite intensive care.
Leptospirosis can be a bi-phasic disease with an acute septicemic
phase and a secondary phase of severe disease characterized by jaundice, renal failure, hemorrhage, or hemodynamic collapse (7).
On admission If patient presents in septicemic
shock state, those patients were started on board spectrum antibiotics (i.
Toward the end of the fourteenth century, the epidemic had abated but not disappeared; outbreaks of pneumonic and septicemic
plague occurred in different cities during the next 350 years (8).
In 1996, five cases of human plague, of which two were fatal, were reported in the United States; both decedents had septicemic
plague that was not diagnosed until after they died.
Increased prevalence of extended spectrum beta lactamase producers in neonatal septicemic
cases at a tertiary referral hospital.