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How did people die of the plague?

People died of the plague in various ways depending on the type of plague they contracted. There were three primary forms of plague during pandemics: bubonic plague, pneumonic plague, and septicemic plague. While the symptoms and the course of the disease could differ, all forms were caused by the bacterium _Yersinia pestis_.

1. Bubonic Plague:

- Bubonic plague was the most common form and was transmitted primarily through the bites of infected fleas. The bacterium entered the body through a flea bite and traveled to the lymph nodes, causing swelling and inflammation. These swollen lymph nodes, known as buboes, were typically found in the groin, armpits, or neck.

- Symptoms included fever, chills, headaches, muscle aches, weakness, and the formation of buboes. The buboes would often become painful, suppurate, and rupture.

- If left untreated, bubonic plague could progress to septicemic or pneumonic plague, both of which were often fatal.

2. Pneumonic Plague:

- Pneumonic plague was a more severe and contagious form of the disease. It was transmitted through the inhalation of infected droplets expelled by an infected person.

- Symptoms included fever, chills, cough, shortness of breath, chest pain, and difficulty breathing. The cough could produce blood-tinged sputum.

- Pneumonic plague spread rapidly and was highly fatal, with a mortality rate close to 100% if left untreated.

3. Septicemic Plague:

- Septicemic plague was the least common form of the disease and was characterized by the presence of bacteria in the bloodstream. It could develop from either bubonic or pneumonic plague.

- Symptoms included high fever, chills, skin discoloration (often turning black, hence the name "Black Death"), bleeding, and organ failure.

- Septicemic plague affected multiple organ systems and had an extremely high mortality rate.

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