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Chapter 16.7 : Plague—

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Plague—, Page 1 of 2

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Abstract:

is a nonmotile, slow-growing, facultative organism classified in the family . It appears as plump, Gram-negative coccobacilli that are seen mostly as single cells or pairs, which may exhibit bipolar staining from a direct specimen if stained with Wright stains. This appearance has been referred to as “safety pin-like.”

Citation: Leber A. 2016. Plague—, p 16.7.1-16.7.8. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch16.7
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Figures

Image of Figure 16.7–1
Figure 16.7–1

Giemsa-stained blood smear containing (1000×) taken from a septicemic patient. Photo courtesy of Dr. Michael Saubolle, Phoenix, Arizona.

Citation: Leber A. 2016. Plague—, p 16.7.1-16.7.8. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch16.7
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Image of Figure 16.7–2
Figure 16.7–2

Blood plate at 48 h growing Photo courtesy of Association of Public Health Laboratories.

Citation: Leber A. 2016. Plague—, p 16.7.1-16.7.8. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch16.7
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Image of Figure 16.7–3
Figure 16.7–3

Blood plate at 72 h growing Photo courtesy of Association of Public Health Laboratories.

Citation: Leber A. 2016. Plague—, p 16.7.1-16.7.8. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch16.7
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Image of Figure 16.7–4
Figure 16.7–4

identification flowchart. LRN, Laboratory Response Network.

Citation: Leber A. 2016. Plague—, p 16.7.1-16.7.8. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch16.7
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References

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1. Inglesby TV, Dennis DT, Henderson DA, Bartlett JG, Ascher MS, Eitzen E, Fine AD, Friedlander AM, Hauer J, Koerner JF, Layton M, McDade J, Osterholm MT, O’Toole T, Parker G, Perl TM, Russell PK, Schoch-Spana M, Tonat K. 2000. Plague as a biological weapon: medical and public health management. Working Group on Civilian Biodefense. JAMA 283:22812290.
2. Perry RD, Fetherston JD. 1997. Yersinia pestis—etiologic agent of plague. Clin Microbiol Rev 10:3566.
3. Centers for Disease Control and Prevention. 2012. Notifiable disease and mortality rates. MMWR Mortal Wkly Rep 61:ND-452ND-465.
4. Dennis DT, Campbell GL. 2004. Plague and other Yersinia infections, p 921929. In Kasper DL (ed). Harrison’s Principles of Internal Medicine, 16th ed. McGraw-Hill, New York, NY.
5. Lowell JL, Wagner DM, Atshabar B, Antolin MF, Vogler AJ, Keim P, Chu MC, Gage KL. 2005. Identifying sources of human exposure to plague. J Clin Microbiol 43:650656.
6. Gage KL. 1998. Plague, p 885–903. In Colliers L, Balows A, Sussman M, Hausles WJ (ed), Topley and Wilson’s Microbiology and Microbiological Infections, vol 3. Edward Arnold Press, London.
7. Butler T. 1983. Plague and other Yersinia infections, p 163188. In Greenough WBIII, Merigan TC (ed), Current Topics in Infectious Diseases. Plenum Medical Book and Company, New York.
8. Gage KL, Dennis DT, Orloski KA, Ettestad P, Brown TL, Reynolds PJ, Pape WJ, Fritz CL, Carter LG, Stein JD. 2000. Cases of cat-associated human plague in the western US, 1977-1998. Clin Infect Dis 30:893900.
9. Wilmoth BA, Chu MC, Quan TJ. 1996. Identification of Yersinia pestis by BBL Crystal Enteric Nonfermentor identification system. J Clin Microbiol 43:28292830.

Tables

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Citation: Leber A. 2016. Plague—, p 16.7.1-16.7.8. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch16.7
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Table 16.7–1

Differentiation of other important species

Citation: Leber A. 2016. Plague—, p 16.7.1-16.7.8. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch16.7
Generic image for table
Table 16.7–2

Antibiotics for use against Y. pestis

Citation: Leber A. 2016. Plague—, p 16.7.1-16.7.8. In Clinical Microbiology Procedures Handbook, Fourth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555818814.ch16.7

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