In the second of these, which occurred in the Ahmedabad district of the Bombay Presidency in 1683-89, buboes ale distinctly described.
Sometimes the buboes are multiple and on both sides, but more commonly they are unilateral.
At the end of November 3 the disease became suddenly more severe, and most of those attacked died; and from the 21st of December it became still more malignant, death occurring in some cases in a few hours, and without any buboes being formed.
Pestis, pestilentia), in medicine, a term given to any epidemic disease causing a great mortality, and used in this sense by Galen and the a ncient medical writers, but now confined to a special disease, otherwise called Oriental, Levantine, or Bubonic Plague, which may be shortly defined a specific infectious fever, one variety being characterized by buboes (glandular swellings) and carbuncles.
Petechiae occur over buboes or on the abdomen, but they are not very common, except in fatal cases, when they appear shortly before death.
It appeared in Gaul in 546, where it is described by Gregory of Tours with the same symptoms as lues inguinaria (from the frequent seat of buboes in the groin).
The really pathognomonic sign is the appearance of buboes or inflamed glands, which happens early in the illness, usually on the second day; sometimes they are present from the outset, sometimes they cannot be detected before the third day, or even later.