When to seek doctor advice
Common general symptoms
Bubo: This is an enlarged, tender, swollen lymph gland most commonly found in the groin, under the arms, or on the neck, depending on the locations of the flea bite.
Skin: Bleeding into the tissues can turn tissue black. This is why the plague is also referred to as black death. The medieval rhyme "black death" is thought to have originated from the deeply darkened skin, bleeding, and tissue death associated with septicemia and pneumonic plague. The initially rose-colored lesions most likely inspired the child's nursery rhyme "Ring Around the Rosy."
"Ring around the rosy" - Rose-colored areas of skin
"Pocket full of posies" - Sweet-smelling flowers that those tending the sick would carry to ward off the stench of disease
"Ashes, ashes" - Impending death (or "A-choo, a-choo" - The sneezing and coughing of those with pneumonic plague)
"All fall down" – Death
Patients with plague may develop meningitis (infection and swelling of the brain), septic shock (a serious system wide blood infection), tissue death and bleeding, and swelling around the heart. All may lead to death.
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