Peste neumónica primaria con transmisión intrahospitalaria en la libertad, Perú 2010

Translated title of the contribution: Primary pneumonic plague with nosocomial transmission in la libertad, Peru 2010

Luis F. Donaires, Manuel Céspedes, Pedro Valencia, Juan Carlos Salas, María E. Luna, Alex Castañeda, Víctor Peralta, César Cabezas, Paul E. Pachas

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Pneumonic plague is one of the clinical forms of plague, of low frequency and high mortality, transmitted by direct inhalation of Yersinia pestis coming from an animal or from person to person. Objective. To describe the clinical and epidemiological characteristics of the cases of primary pneumonic plague in an outbreak in the north of Peru. Materials and methods. The clinical records of the confirmed cases of primary pneumonic plague presenting in an outbreak occurring in La Libertad, in July 2010, were reviewed, also the search and contact investigation was performed. Results. The index case was identified, as well as three additional cases, out of these, two were nosocomial infections related to the index case. The initial clinical presentation was characterized by sudden onset of fever, chills, myalgia and chest pain, which in less than 24 hours evolved to hypotension and cyanosis. The initiation of specific treatment varied from 2 to 12 days, and cases with prompt initiation of treatment had a better clinical outcome. The lethality was 50% (2/4). Conclusion. Nosocomial transmission of pneumonic plague in Peru is evidenced, with severe clinical manifestations and high lethality.

Translated title of the contributionPrimary pneumonic plague with nosocomial transmission in la libertad, Peru 2010
Original languageSpanish
Pages (from-to)326-336
Number of pages11
JournalRevista Peruana de Medicina de Experimental y Salud Publica
Volume27
Issue number3
DOIs
StatePublished - 2010

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