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Pneumonic Plague

Imaging findings

CT chest shows rapidly progressive, bilateral dense consolidations and patchy bronchopneumonia, associated with severe pleural effusion, in a patient with exposure to a sick domestic cat. Sputum grew Yersinia pestis.

Key takeaways

Pneumonic plague is a highly lethal, rapidly progressive zoonotic infection caused by Yersinia pestis. Transmission typically occurs through contact with infected animals (especially domestic cats). Radiologically, it causes aggressive, rapidly expanding consolidations resembling acute respiratory distress syndrome.

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