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Bubonic Plague

Causes: buboneck.jpg
· Rats are bitten by infected flea
· Flea regurgitates infected material while feeding
· Rat contracts a fatal disease called murine or silvatic Plague
· Rat dies, flea jumps to nearest warm-blooded host
·
Human is bitten by infected flea

How it Spread

- people were unaware of the causes
-over crowded streets
- lack of hygene

-
many people did these things to prevent them from getting the disease
-burning incense
-dipping handkerchiefs in aromatic oils
-ringing church bells and firing cannons
-wearing talismans
-bathing in human urine
-placing dead animals in their dwellings
-bleeding from leeches and bloodletting,
-drinking the pus extracted from a suppurated bubo
-applying dried toads to relieve the pain of the buboes by absorbing the "poisons,"
-drinking liquid gold or powdered emeralds (only for the very rich)
-joining groups of flagellants.
- spread the disease more


Signs and symptoms:

  • One to six days after being bitten, the lymph nodes in the armpit and groin become tender
  • Swell (as large as an egg [1to 10 cm in diameter])
  • Swollen areas called buboes
  • Sometimes original bite site becomes infected
  • Not rare for the tissue to die
Other symptoms
  • Restlessness
  • Staggering gait
  • Mental confusion bubound.jpg
  • Prostration
  • Delirium
  • Rapid pulse
  • Nausea
  • Aching of extremities and back
  • High fever
· Some cases the microbe proceeded straight to the blood stream
· Septicemic plague can occur before the formation of buboes
· Results in death before diagnosis
· With septicemic- blood vessels pop and cause black rashes under the skin
· Multiple system failure
· Hemorrhagic illness (bleeding)
· Death

Death rate:

· All occurs within 3-7 days
- Mortality rate for untreated bubonic plague is 50-75%

Syphilis

Causes:
· Spread by close personal contact
· Open sores
· Breaks in the skin
· Sexual transmission
· Vertical transmission ( mother to fetus)
· Forms within two to ten weeks
Signs and symptoms:
Primary:
· 1-3 months after exposer host experiences enlarged lymph nodes

syph_gumma_hand.jpg

Secondary:
· a flu-like illness developes
· sometimes immune system succeeds and there is spontaneous resolution
· if microbes are not destroyed skin rash develops
· patient is highly infectious
· with time the organism disappears from secondary lesions and skin rash
Tertiary Syphilis
· some of the tresponems spread to other parts

in particular
- mucous membranes
- liver
- eyes
- joints
- bones
- muscles

- central nervous system
· can multiply or stay dormant
· can rage from mild skin rash to significant central nervous system involvement resulting in paralysis and death
death rate:
· 25% undergo spontaneous cure
· 25% show no further symptoms
- remaining 50% go into tertiary



Cholera

Causes:
· Transmitted through contaminated water
· Cause infection only in humans
· Bacteria binds to the inside of the small intestine and secrete a potent toxin
· Alters the membrane transport mechanism
· Draws water, chloride and sodium out of the gut
Signs and symptoms:

· Three stages
Invasion
· End of incubation period symptoms show up
· Include: malaise, headache, severe diarrhea (rice water stool), anorexia and a slight fever
· Results in loss of fluid and electrolytes
· Causes hypovolemic shock, renal failure and cardiac failure,
Collapse
· Circulation almost completely arrested, accelerated breathing, weak pulse, decreased blood pressure, and reduced or no urine output.
· This stage lasts a few hours to a day or two
· Mind remains clear until death
· Coma occurs
· Death can follow onset of symptoms after 6 hours
Reaction
· Sometimes symptoms stop
Death rate:
· 40-60% mortality rate if left untreated


Smallpox

Causes:
· Caused by poxvirus
· Spread from person to person through contact with skin lesions or via the respiratory tract

Signs and symptoms:

· Two usual formssmallpo-arm.gif
· Variola major and Variola minor
· Minor causes sparse rash and low-grade fever
· Extremely stable
· Also two rare forms
· Hemorrhagic and malignant
· First causes subcutaneous bleeding
· Both 100% fatal if left untreated

Death rate:

·
20-40% depending on age and health

http://uhaweb.hartford.edu/bugl/histepi.htm#intro