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Plague in VietnamClinical Observations and Treatment With Kanamycin
J. Robert Cantey, MD
Arch Intern Med. 1974;133(2):280-283.
Abstract
Twenty-three Montagnard tribesmen had plague infections and were hospitalized in the central highlands of Vietnam; their clinical appearances, diagnostic techniques, and kanamycin sulfate therapy were evaluated. Severely ill patients were categorized as "bubonic-septicemic plague." When contrasted with patients having bubonic plague, patients with bubonic-septicemic plague had delirium, a higher pulse rate, and a higher white blood cell count and plague bacilli on methylene-blue smears of unspun venous blood. Bacterial staining of lymph-node material and peripheral blood smears was essential for early diagnosis of plague. Results of treatment with kanamycin in 18 patients were similar to those reported with streptomycin sulfate therapy.
Author Affiliations
Pleiku, Republic of Vietnam
From Headquarters and Company A, 4th Medical Battalion, 4th Infantry Division, Pleiku, Republic of Vietnam. Dr. Cantey is now at the Medical University of South Carolina and the Veterans Administration Hospital, Charleston, SC.
Footnotes
Received for publication Nov 1, 1972; accepted March 12, 1973.
Read in part before the annual session of the American College of Physicians, Atlantic City, NJ, April 21, 1972.
The opinions or assertions contained herein are those of the author and are not to be construed as official or reflecting the views of the US Army.
Reprint requests to 109 Bee St, Charleston, SC 29403.
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