Yikes 😳
Dave is on the mark. There have been a number of cases in the metropolis of Tijeras, NM since I’ve been here. Since it is a known problem, folks are treated and recover.
A number of years ago a couple from Santa Fe were visiting NYC when the symptoms manifested. The doctors there were not up to speed on the plague being a “thing” and they suffered amputations but, I believe, survived.