Plague pharyngeal

CLINICAL MANIFESTATIONS Bubonic Plague Septicemic Plague Pneumonic Plague Plague Meningitis Pharyngeal Plague Cutaneous Manifestations... 

Primary septicemic plague can occur from direct inoculation of bacilli into the bloodstream, bypassing initial multiplication in the lymph nodes. Asymptomatic pharyngeal carriage of plague has been reported to occur in contacts of patients with either bubonic or pneumonic plague.53,54... 

Asymptomatic pharyngeal carriage has been reported to occur in contacts of plague patients.53,54... 

Rarely, pharyngitis—resembling tonsillitis and associated with cervical lymphadenopathy—has been reported.17,55 A plague syndrome of cervical buboes, peritonsillar abscesses, and fulminant pneumonia has also been reported to occur among Indians of Ecuador, who are known to catch and kill fleas and lice with their teeth. It is thought, although not proven, that endobronchial aspiration from peritonsillar abscesses leads to fulminant pneumonia. A similar syndrome may have occurred in Vietnam.55... 

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