第27回："Sick as a Dog"
タイトルは、リアルの犬と比喩としての犬を掛けています。世界史上最悪の疫病で、その流行がなければ、ルネサンスや１７世紀の科学革命もなかったかもしれない黒死病（ペスト）でした。さらに今回のケースは、なんと、国立感染症研究所でも報告されておりました！
Word Count：2680語 (Time: 19'01'', 141 wpm)
参加人数：４名＋書面参加１名
クリニカル・パール：
- Specifically, Yersinia pestis has previously been misidentified as P. luteola on automated blood-culture systems and is endemic in the western United States, including Colorado. P. luteola is a rare human pathogen that is typically found only in patients who have compromised immune function or implanted hardware, neither of which appears to apply to this patient.
- Y. pestis is listed as a category A (high-priority) bioterrorism agent by the Centers for Disease Control and Prevention, and biosafety level 3 precautions must be observed for cultured specimens.
- Although plague is uncommon, all forms of the disease are associated with substantial morbidity and mortality. Clinicians must have a high index of suspicion in the context of severe pneumonia with rapid onset, particularly in immunocompetent hosts who have spent time in endemic areas. Awareness of common clinical manifestations can facilitate early detection and treatment of this highly lethal but treatable disease.
感想：
