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Cats with plague pneumonia can give it to people," Idaho Department of Health and Welfare said in a statement.
Four persons developed plague after exposure to the ill dog; one of the patients also had close contact with the index patient after he developed plague pneumonia, supporting possible human-to-human transmission.
Chest x-rays may reveal infiltrates, hilar adenopathy, effusion, and nodular infiltrates with pleural effusion suggesting tularemia or plague pneumonia; 30% have minimal or absent pulmonary signs and generalized constitutional symptoms may predominate.