A 40-year-old Congolese woman presents with multiple painful inguinal buboes. She also has a high fever with prostration. Blood cultures grow Yersinia...

Question

A 40-year-old Congolese woman presents with multiple painful inguinal buboes. She also has a high fever with prostration. Blood cultures grow Yersinia pestis. She works as a gold miner in a remote area with known plague activity. Which contacts require antibiotic post-exposure prophylaxis?

Accepted Answer

All close contacts (household members, healthcare workers, and anyone with face-to-face exposure), particularly if pneumonic plague is suspected, using doxycycline or ciprofloxacin for 7 days

Answer

No contacts require prophylaxis

Answer

Only household contacts who share a bed

Answer

Only children under 5

Answer

Only immunocompromised contacts

uk-dtmh MCQ (SBA): Plague Contact Prophylaxis

A 40-year-old Congolese woman presents with multiple painful inguinal buboes. She also has a high fever with prostration. Blood cultures grow Yersinia pestis. She works as a gold miner in a remote area with known plague activity. Which contacts require antibiotic post-exposure prophylaxis?