A 30-year-old woman from rural Congo presents with fever and a large, painful inguinal bubo. She works in a mining camp with poor sanitation. She also...

Question

A 30-year-old woman from rural Congo presents with fever and a large, painful inguinal bubo. She works in a mining camp with poor sanitation. She also has 2 haemorrhagic skin lesions. Blood cultures grow Yersinia pestis. What is the diagnosis and recommended treatment?

Accepted Answer

Bubonic plague; streptomycin (or gentamicin) as first-line, or doxycycline as alternative

Answer

Lymphogranuloma venereum; doxycycline 21 days

Answer

Chancroid; azithromycin single dose

Answer

Tularaemia; ciprofloxacin

Answer

Cat-scratch disease; azithromycin

uk-dtmh MCQ (SBA): Bubonic Plague

A 30-year-old woman from rural Congo presents with fever and a large, painful inguinal bubo. She works in a mining camp with poor sanitation. She also has 2 haemorrhagic skin lesions. Blood cultures grow Yersinia pestis. What is the diagnosis and recommended treatment?