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Description:The fingertips of this patient’s right hand exhibited the signs of what is known as acral gangrene, after having contracted plague, caused by the bacterium, Yersinia pestis. For another view of this patient’s hand see PHIL 16451.
Incubation period is typically 1–6 days. Symptoms and signs of the 3 clinical presentations of plague illness are as follows:

- Bubonic (most common)—rapid onset of fever; painful, swollen, and tender lymph nodes, usually inguinal, axillary, or cervical

- Pneumonic—high fever, overwhelming pneumonia, cough, bloody sputum, chills

- Septicemic—fever, prostration, hemorrhagic or thrombotic phenomena, progressing to acral gangrene

High Resolution: Click here for hi-resolution image (20.79 MB)
Content Providers(s):CDC/ William Archibald
Creation Date:1977
Photo Credit:
Links:CDC - National Center for Emerging and Zoonotic Infectious Diseases; Division of Vector-Borne Infectious Diseases; Plague Home Page
CDC - National Center for Emerging and Zoonotic Infectious Diseases (NCEZID); Division of Global Migration and Quarantine (DGMQ); Travelers’ Health: Chapter 3 - Infectious Diseases Related To Travel: Plague (Bubonic, Pneumonic, Septicemic)
CDC Organization
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Copyright Restrictions:None - This image is in the public domain and thus free of any copyright restrictions. As a matter of courtesy we request that the content provider be credited and notified in any public or private usage of this image.