![]() Plague is an illness caused by the Yersinia pestis bacterium. The most common form, bubonic plague, comes from flea bites, but you can get pneumonic plague from someone who’s infected. Plague caused deadly pandemics in the past and still exists in many countries today. You can survive plague if you’re treated with antibiotics quickly. ![]() Plague still exists. It’s most common in parts of Africa, but a few cases are reported in Asia, South America and the U.S. every year. Worldwide, 1,000 to 2,000 people are diagnosed with plague every year; only about seven cases are reported in the U.S. It is cured with antibiotics, if treatment starts early. ![]() Which type you have depends on where in your body Y. pestis ends up. Bubonic plague infects your lymph nodes, septicemic plague is in your blood and pneumonic plague affects your lungs. Bubonic plague Bubonic plague is the most common form of plague. It’s also the most survivable. With quick antibiotic treatment, you have about a 95% chance of recovering from bubonic plague. Bubonic plague makes one or more lymph nodes painful and swollen. The affected lymph nodes are usually near where an infected flea bit you. Septicemic plague When Y. pestis gets into your blood, you have septicemic plague. It destroys your tissues, leading to gangrene and organ failure. Your fingers, hands, toes, feet or other body parts might turn black. You can get septicemic plague from: Pneumonic plague You get pneumonic plague when Y. pestis bacteria gets into your lungs. It’s the least common but most dangerous type of plague. Pneumonic plague can spread from person to person through coughing and sneezing, just like the common cold. You can also get it from close contact with infected animals or from bacteria moving to your lungs from another part of your body (a secondary infection). Pneumonic plague causes severe pneumonia and respiratory failure. If not treated, most people with pneumonic plague die within days. When Y. pestis enters your body, it hides from your immune system, allowing it to multiply and spread. When it gets into cells, it releases a toxin to kill the cell. Y. pestis can infect your lymph nodes (bubonic plague), causing large swellings called buboes. If it gets in your blood (septicemic plague), it can damage your organs. If it gets into your lungs (pneumonic plague), it can cause severe inflammation and respiratory failure. ![]() Most people think of rats as the only carriers of plague, but many animals carry and spread the disease. Which animals are more likely to have plague is different depending on where you live. Research shows plague can affect: Bubonic and septicemic plague are not contagious, but pneumonic plague is. Pneumonic plague can spread from person to person through coughing, sneezing and close contact. ![]() |