Volume 13, Number 4—April 2007
Letter
Pneumonic Plague, Northern India, 2002
Manohar Lal Gupta* and Anuradha Sharma*
Table
Epidemiologic characteristics and laboratory findings of patients with suspected cases of pneumonic plague, India, 2002 (1)*
| Patient no. | Relation to index patient | Age, y/sex | Onset of symptoms | Outcome | Wayson staining | Blood c/s | Sputum c/s | Molecular results | Serologic results |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Index patient | 35/M | Feb 2 | Died Feb 5 | – | – | – | – | – |
| 2 | Wife | 29/F | Feb 6 | Died Feb 14 | – | – | – | Confirmed | Single sample positive |
| 3 | Brother | 26/M | Feb 7 | Discharged Mar 8 | – | Yersinia pestis | – | Confirmed | Negative |
| 4 | Sister | 31/F | Feb 9 | Died Feb 18 | – | Y. pestis | – | Confirmed | – |
| 5 | Sister | 27/F | Feb 12 | Discharged Feb 25 | – | – | – | – | Negative |
| 6 | Brother-in-law | 35/M | Feb 12 | Discharged Mar 8 | – | – | – | – | Negative |
| 7 | Brother-in-law | 35/M | Feb 10 | Discharged Feb 21 | – | – | – | – | Negative |
| 8 | Sister-in-law | 38/F | Feb 9 | Discharged Feb 25 | – | – | – | – | >4-fold rise |
| 9 | Companion on hunting trip | 36/M | Feb 10 | Discharged Feb 28 | – | – | – | – | Same titer in paired serum specimens |
| 10 | Sister-in-law | 37/F | Feb 12 | Discharged Mar 11 | – | – | – | – | >4-fold rise |
| 11 | Relative of sister-in-law | 40/F | Feb 12 | Died Feb 14 | Positive | Y. pestis | Y. pestis | Confirmed | Negative |
| 12 | Aunt | 57/F | Feb 10 | Discharged Mar 4 | Positive | Negative | Y. pestis | Negative | >4-fold rise |
| 13 | Neighbor | 46/F | Feb 11 | Discharged Feb 27 | – | – | – | – | >4-fold rise |
| 14 | Son of neighbor | 22/M | Feb 8 | Discharged Feb 27 | – | – | – | – | >4-fold fall |
| 15 | Patient hospitalized with epilepsy | 47/F | Feb 11 | Discharged Feb 18 | – | – | – | – | Negative |
| 16 | Husband/atten- dant of patient 15 | 60/M | Feb 11 | Discharged Mar 11 | Positive | Y. pestis | Y. pestis | – | >4-fold rise |
*c/s, culture/sensitivity; –, sample not submitted; paired serum samples were tested 4 weeks apart.
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