Peru: Report of "new form" of plague

[alert]

It is not clear whether this is a report of a mutation in the plague bacterium, or just a novel presentation in this individual.

My indications seem to be the second interpretation (the first pharyngeal plague case in the area, when previous cases were bubonic), but the ProMED Portuguese moderator seems to think this is the first (an actual mutation in the bacterium).

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1050,85360

Spanish to English translation
Archive Number 20101017.3766
Published Date 17-OUT-2010
Subject PRO / POR> Death: Peru (09) (La Libertad, Ascope)


FEVER: PERU (09) (FREEDOM, Ascope)
********************************
Uma Mensagem / A message / ProMED-mail <http://www.promedmail.org>
ProMED-mail e um program da / is a program of the International Society
for
Infectious Diseases <http://www.isid.org>

Data: Domingo, 17 de outubro / October 2010
De: Promed-Port <Promed-Port@promedmail.org>
Fonte: Peru21 [15.10.2010]
http://peru21.pe/noticia/654324/nueva-variedad-peste-libertad

New variety of plague in La Libertad

Girl of one year and eight months of ill health presents the pharynx. Mutation
exhibits the same symptoms of bubonic plague, but it would be lethal.

The plague is causing alarm in the province of Ascope. The manager
Regional Health, Víctor Peralta, yesterday confirmed the emergence of a new
disease mutation: the pharyngeal plague, which spreads via
mouth of an infected animal has the same symptoms of the disease, but not
lethal.

He said that a girl of one year and eight months of the settlement Tupac
Amaru, in the town of Sintuco (Chocope) has been spread from
disease. The victim was infected by her cat had buboes in
throat.

?? This strain of plague is transmitted from animals to people and
become the second such case so far this year, since
Last May another six year old girl was infected, but in both cases
children are safe? said.

Diaz said he sent samples to the National Institute of Health in
Lima, to verify that this is the same variety. He said that the
had lower fevers and malaise since Friday and Sunday and
had buboes, thus the dose was given against the plague and was given
high.

Comentário:
[Passer Isso não uma seems branda form of plague, possivelmente by third
been acquired by contato com um cat (ocorrência já conhecida), or
Teria become less virulent bacteria.

Problem here that circulação é do bacillus appears to continue? LJS]

 

[alert]

Re: Peru: Report of "new form" of plague

This is the ProMED Spanish post of the same article, where the moderator tends to support the second interpretation as well.

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1060,85365

Spanish to English translation
Archive Number 20101017.3771
Posted 17-OCT-2010
Title PRO / ESP> Death fari ?? ? ?? ngea, NII ?? ? ?? a - Peri ?? ? ?? (Ascope)

Pharyngeal plague, GIRL - PERU (Ascope)
************************************************** ****
A statement by ProMED-mail
<http://www.promedmail.org>
ProMED-mail is a program
International Society for Infectious Diseases
<http://www.isid.org>

Date: October 28, 2010
Source: News Trujillo, Peru
<http://www.noticiastrujillo.com/index.php?option=com_content&task=view&id=42551&Itemid=57>
[Edited by J. Torres]

The regional manager of Health, Victor Peralta, confirmed yesterday
emergence of a new [variety] of the disease: fever
throat ", which is spread by mouth of an infected animal and
has the same symptoms of the disease, but not lethal.

He said a girl of one year and eight months of village
Tupac Amaru, in the town of Sintuco (Chocope) has been infected
of the disease. The victim was infected by her cat had
buboes in the throat.

?? This strain of plague is transmitted from animals to people and
become the second such case so far this year, as
last May, another six year old girl was infected, but in both
cases the children are out of danger? said.

Diaz said he sent samples to the National Institute of Health
in Lima, to verify that this is the same variety. He said
that the minor had fever and malaise since Friday and
on Sunday and had buboes, thus the dose was given against
and fever and was discharged



Reported by: Jaime R. Torres <torresjaime@cantv.net>


[Comment:

Strep plague is the result of contamination
oropharynx pestis_ _Yersinia infected material. Sources
recognized exposure include respiratory droplets
expelled during coughing of a patient (or animal) with fever
pneumonic, or eating undercooked meat or tissues or raw
an infected animal. The bacteria contaminated hands or
instruments used in skinning an infected animal and can be
transferred to the mouth. Asymptomatic colonization of the pharynx has
been reported in contacts of patients with pneumonic plague. The
symptomatic pharyngeal plague is clinically similar to pharyngitis
streptococcal or viral infections, cervical lymphadenopathy, although the
plague are often more severe and painful. In the absence of information
pharyngeal plague epidemiological suggest, is likely to
diagnosis is not reached until the identification is made
_Y laboratory. pestis_ a throat culture. Moderator
Jaime R. Torres]


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