“…Pneumonic plague is typically diagnosed in humans following observations of lymphadenopathy, fever, myalgia, lethargy, chills, and may include chest pain, cough, and rales. 3,4 However, many diagnoses are made retrospectively due to the low incidence of disease. Due to the potential person-to-person transmission of pneumonic plague, the Centers for Disease Control and Prevention considers this disease to be a serious potential threat and have listed Y pestis as a category A threat, the highest risk threat for potential bioterrorism agents.…”