December 1970

The Clinical Spectrum of Plague in Vietnam

Author Affiliations

USA, Honolulu; Los Angeles

From the Department of Medicine, US Army Tripler General Hospital, Honolulu (LTC Reiley), and the Department of Medicine, Wadsworth Veterans Administration Hospital, Los Angeles (Dr. Kates).

Arch Intern Med. 1970;126(6):990-994. doi:10.1001/archinte.1970.00310120052005

The republic of Vietnam is highly endemic for plague infections. With the volume and efficiency of air travel, this disease may occur in servicemen or civilians who return from this area. There was a wide spectrum of manifestations in six cases of proved and two of presumptive plague infection in patients hospitalized at the US Army Eighth Field Hospital. These cases occurred in persons of varied ethnic background. The features of the classic fatal bubonic-septicemic form were seen, as were cases difficult to distinguish from lymphogranuloma venereum. Treatment was effective in all but two cases. Continued awareness of this disease is emphasized, as early diagnosis and treatment are imperative.