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S. Benson Werner, MD; Curtiss E. Weidmer, MD; Bernard C. Nelson, PhD; Genevieve S. Nygaard; Randall M. Goethals, MD; Jack D. Poland, MD

JAMA. 1984;251(7):929-931.

Abstract
Primary plague pneumonia occurred in a 47-year-old South Lake Tahoe woman shortly after face-to-face exposure to her plague pneumoniainfected cat. Both died. Field investigation revealed a recent plague epizootic in squirrels and chipmunks around the patient's home. Control measures included active surveillance and chemoprophylaxis of 197 contacts to the victim, a community alert on methods of self- and pet protection, and application of insecticide to reduce rodent flea populations. No secondary cases occurred.

(JAMA 1984;251:929-931)

Author Affiliations
From the California Department of Health Services, Berkeley (Drs Werner and Nelson and Ms Nygaard); the El Dorado County Health Department, Placerville, Calif (Dr Weidmer); and the Centers for Disease Control, Fort Collins, Colo (Dr Poland). Dr Goethals is in private practice, South Lake Tahoe, Calif.

Footnotes
Reprint requests to Infectious Disease Section, California Department of Health Services, 2151 Berkeley Way, Berkeley, CA 94704 (Dr Werner).

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