Forms of disease observed with plague patients do NOT include which form?

• A. Pneumonic
• B. Bubonic
• C. Typhoidal
• D. Septicemic

Answer: (C)

Plague presents in three classic clinical forms: bubonic, septicemic, and pneumonic. Bubonic plague shows swollen, painful lymph nodes (buboes) after a flea bite, along with fever. Septicemic plague is a bloodstream infection that can occur with or without buboes and may cause bleeding and organ dysfunction. Pneumonic plague affects the lungs and is spread through respiratory droplets, with fever, cough, and chest pain. The term “typhoidal” plague is not a standard form of plague; typhoid fever is caused by a different organism (Salmonella typhi) and isn’t part of plague presentations. So the form not observed in plague patients is typhoidal plague.