A plague like no other. Beyond the buboes in Thucydides’ accountof the plague of Athens

BackgroundThe Athens Plague (430–427 BCE) was a devastating outbreak during the PeloponnesianWar, described in detail by Thucydides. Although there is ongoing discussion, the specificcause of the epidemic remains undetermined.ObjectivesThis review reexamines the Athenian plague through historical an...

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Detalles Bibliográficos
Autores: Domingo, Pere (Domingo Pedrol), Prieto, Patricia, Pons Pujol, Lluís, 1971-
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/227585
Acceso en línea:https://hdl.handle.net/2445/227585
Access Level:acceso abierto
Palabra clave:Epidèmies
Tifus exantemàtic
Paleopatologia
Verola
Epidemics
Typhus fever
Paleopathology
Smallpox
Descripción
Sumario:BackgroundThe Athens Plague (430–427 BCE) was a devastating outbreak during the PeloponnesianWar, described in detail by Thucydides. Although there is ongoing discussion, the specificcause of the epidemic remains undetermined.ObjectivesThis review reexamines the Athenian plague through historical and microbiological lenses,reassessing diagnostic hypotheses and proposing the plausibility of an ancient pneumonicstrain of Yersinia pestis.SourcesWe analyzed Thucydides' original account alongside interdisciplinary literature from classicalstudies, paleopathology, epidemiology, and microbiology. We gathered sources fromPubMed, JSTOR, Google Scholar, and the Perseus Digital Library, covering works from 1634to 2024.ContentThe clinical progression described by Thucydides—fever, conjunctivitis, bloody cough,gastrointestinal symptoms, rash, and high mortality—is compared to the presentations oftyphoid fever, smallpox, epidemic typhus, measles, and plague. This review considersarchaeological and paleogenomic findings, including controversial evidence of Salmonellaenterica and the evolutionary history of Y. pestis. Special emphasis is placed on early strainsof Y. pestis that lacked flea-borne virulence factors but may have caused pneumonic formstransmitted between humans.ImplicationsThe epidemic's significant demographic, political, and social impacts highlight the broaderconsequences of infectious diseases in ancient history. This review emphasizes the necessityof employing a multidisciplinary approach in historical epidemiology and advocates forreassessing pneumonic plague as a likely contributor to the outbreak that occurred inAthens.