title: Primary case of human pneumonic plague occurring in a Himalayan marmot natural focus area Gansu Province, China.
abstract: A case of primary pneumonic plague (PPP) caused by Yersinia pestis is reported. This case occurred in the largest plague area in China. The patient died after contact with a dog that had captured an infected marmot. Three of 151 contacts were shown to be positive for antibody against F1 antigen by indirect hemagglutination assay, but none had clinical symptoms. There was no secondary case.
authors.affiliation: Gansu Provincial Centre for Disease Control and Prevention, 230 Donggang West Road, Chengguan District, Lanzhou, China.
authors.forename: Pengfei
authors.initials: P
authors.lastname: Ge
authors.affiliation: Gansu Provincial Centre for Disease Control and Prevention, 230 Donggang West Road, Chengguan District, Lanzhou, China.
authors.forename: Jinxiao
authors.initials: J
authors.lastname: Xi
authors.affiliation: Jiuquan Municipal Centre for Disease Control and Prevention, Jiuquan, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Ding
authors.affiliation: Yumen Municipal Centre for Disease Control and Prevention, Yumen, China.
authors.forename: Fachang
authors.initials: F
authors.lastname: Jin
authors.affiliation: Gansu Provincial Centre for Disease Control and Prevention, 230 Donggang West Road, Chengguan District, Lanzhou, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Gansu Provincial Centre for Disease Control and Prevention, 230 Donggang West Road, Chengguan District, Lanzhou, China.
authors.forename: Limin
authors.initials: L
authors.lastname: Guo
authors.affiliation: Yumen Municipal Centre for Disease Control and Prevention, Yumen, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Yumen Municipal Centre for Disease Control and Prevention, Yumen, China.
authors.forename: Junlin
authors.initials: J
authors.lastname: Li
authors.affiliation: Jiuquan Municipal Centre for Disease Control and Prevention, Jiuquan, China.
authors.forename: Zhiqiang
authors.initials: Z
authors.lastname: Gan
authors.affiliation: Gansu Provincial Centre for Disease Control and Prevention, 230 Donggang West Road, Chengguan District, Lanzhou, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Wu
authors.affiliation: National Institute for Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, State Key Laboratory for Infectious Disease Prevention and Control, Collaborative Innovation Centre for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206 Beijing, China.
authors.forename: Junrong
authors.initials: J
authors.lastname: Liang
authors.affiliation: National Institute for Communicable Disease Control and Prevention, Chinese Centre for Disease Control and Prevention, State Key Laboratory for Infectious Disease Prevention and Control, Collaborative Innovation Centre for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, 102206 Beijing, China. Electronic address: wangxin@icdc.cn.
authors.forename: Xin
authors.initials: X
authors.lastname: Wang
authors.affiliation: Gansu Provincial Centre for Disease Control and Prevention, 230 Donggang West Road, Chengguan District, Lanzhou, China. Electronic address: wangxinHua1964@163.com.
authors.forename: Xinhua
authors.initials: X
authors.lastname: Wang
mesh_terms: D000328:Adult; D000818:Animals; D002681:China; D004283:Dog Diseases / Q000382:microbiology; D004285:Dogs; D006801:Humans; D008297:Male; D008392:Marmota / Q000382:microbiology*; D010930:Plague / Q000175:diagnosis* / Q000662:veterinary; D012376:Rodent Diseases / Q000382:microbiology; D015010:Yersinia pestis / Q000302:isolation & purification
keywords: Dogs; Epidemiological investigation; Indirect hemagglutination test; Marmota himalayana; Primary pneumonic plague