To reduce the chance of death, antibiotics must be given within 24 hours of first symptoms. Without early treatment, patients may die.Įarly treatment of pneumonic plague is essential. The pneumonia progresses for 2 to 4 days and may cause respiratory failure and shock. With pneumonic plague, the first signs of illness are fever, headache, weakness, and rapidly developing pneumonia with shortness of breath, chest pain, cough, and sometimes bloody or watery sputum. Septicemic plague does not spread from person to person. Patients have fever, chills, prostration, abdominal pain, shock, and bleeding into skin and other organs. When it occurs alone, it is caused in the same ways as bubonic plague however, buboes do not develop. It can be a complication of pneumonic or bubonic plague or it can occur by itself.
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