7-year-old Colo. girl recovers from attack of bubonic plague

Jack Dempsey/Associated Press
Seven-year-old Sierra Jane Downing, from Pagosa Springs, watches while her mother, Darcy Downing, talks about her recovery from bubonic plague during a news conference Wednesday at the Rocky Mountain Hospital for Children at Presbyterian/St. Lukes in Denver. It is believed Downing caught the plague from burying a dead squirrel. Enlarge photo

Jack Dempsey/Associated Press Seven-year-old Sierra Jane Downing, from Pagosa Springs, watches while her mother, Darcy Downing, talks about her recovery from bubonic plague during a news conference Wednesday at the Rocky Mountain Hospital for Children at Presbyterian/St. Lukes in Denver. It is believed Downing caught the plague from burying a dead squirrel.

DENVER The parents of 7-year-old Sierra Jane Downing thought she had the flu when she felt sick days after camping in Southwest Colorado.

It wasnt until she had a seizure that her father knew something was seriously wrong and rushed her to a hospital in their town of Pagosa Springs.

I didnt know what was going on. I just reacted, Sean Downing said. I thought she died.

An emergency room doctor who saw Sierra Jane for the seizure and a 107-degree fever late Aug. 24 wasnt sure what the cause was, either, and called other hospitals before the girl was flown to Denver.

There, a pediatric doctor at Rocky Mountain Hospital for Children racing to save Sierra Janes life got the first inkling that she had bubonic plague. Dr. Jennifer Snow suspected the disease based on the girls symptoms, a history of where shed been and an online journals article about a teen with similar symptoms.

Dr. Wendi Drummond, a pediatric infectious disease specialist at the hospital, agreed and ordered a specific antibiotic for Sierra Jane while tests were run, later confirming their rare diagnosis.

It was the first bubonic plague case Snow and her colleagues had seen.

I credit them for thinking outside the box, said Dr. Tracy Butler, medical director of the hospitals pediatric intensive unit.

The bubonic plague hasnt been confirmed in a human in Colorado since 2006, when four cases were reported.

Federal health officials say they are aware of two other confirmed and one probable case of plague in the U.S. so far this year an average year. The other confirmed cases were in New Mexico and Oregon, and the probable case also was in Oregon. None died.

Its not clear why Colorado hasnt seen another human case until now, state public-health veterinarian Elisabeth Lawaczeck said.

Plague is generally transmitted to humans through the bites of infected fleas but also can be transmitted by direct contact with infected animals, including rodents, rabbits and pets.

Officials with the Centers for Disease Control and Prevention acknowledged that a series of frightening illnesses linked to insects and pests have been surfacing lately across the country, including mosquito-borne West Nile virus outbreaks in Texas and other states, deadly hantavirus cases linked to Yosemite National Park, and some scattered plague cases.

But with some of the illnesses such as plague this is not an unusually bad year; its just getting attention. And the number of cases of each disease is driven by different factors.

I dont think theres a confluence of any particular set of factors driving the recent illness reports, said Kiersten Kugeler, a CDC epidemiologist in Colorado who tracks plague reports.

In Sierra Janes case, by the night of Aug. 25, the girls heart rate was high, her blood pressure was low and a swollen lymph node in her left groin was so painful it hurt to undergo the ultrasound that detected the enlarged node, Snow said.

Doctors say the girl could be discharged from the hospital within a week.

On Wednesday, Sierra Jane flashed a smile with two dimples as she faced reporters in a wheelchair, her pink-toed socks peeking out from the white blanket enveloping her as she held a brown teddy bear.

Shes just a fighter, said her mother, Darcy Downing.