The correct answer is: Option number 4 i.e., Secondary pneumonic plague
Explanation- The basic things to point out in this question are symptoms of the disease and the vector that has transmitted bacteria. The patient had muscle ache, high fever and flu-like symptoms. The flu like symptoms are only developed in pneumonic plague (because it affects the respiratory system). Bubonic plague affects the lymphatic system (lymph nodes) while septicemic plague affects the blood. So bubonic and septicemic can not be the correct answer.
Now, we have two options containing pneumonic plague: primary pneumonic plague and secondary pneumonic plague. But there is difference between the two in mode of transmission of bacteria. Primary pneumonic plague is usually caused by inhalation of infective droplets/aerosols that contains bacteria. While Secondary pneumonic plague is due to bite of flea. So the only correct answer is Secondary pneumonic plague.
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microbiology The following is an article about a young man who died of plague in 2015....