Internally Peer Reviewed 2-24. 10 to 14 days following inhalation. Signs and Symptoms.
Infection can vary from a mild bronchitis to a severe necrotizing pneumonia.
The illness may begin abruptly, or with a vague prodrome featuring headache, anorexia, and myalgia. Physical findings may be minimal but can feature pulmonary rales. Acute pulmonary disease can progress and result in bacteremia and acute septicemic disease. The acute septicemic disease may follow a terminal course with death occurring in 7 to 10 days. Case fatality rate for acute septicemic disease exceeds 90 percent.