title: Unique Case of Disseminated Plague With Multifocal Osteomyelitis.
abstract: Plague is a disease caused by Yersinia pestis. Septicemic and pneumonic plague have a high mortality rate if untreated. Here we describe the challenges of accurately diagnosing a nonfatal pediatric case of septicemic plague with involvement of multiple organs; to our knowledge, the first documented case of multifocal plague osteomyelitis.
authors.affiliation: Division of Pediatric Infectious Diseases.
authors.forename: Leidy
authors.initials: L
authors.lastname: Tovar Padua
authors.affiliation: Epidemic Intelligence Service, Division of Scientific Education and Professional Development.|Acute Communicable Disease Control, Los Angeles County Department of Public Health, Los Angeles.
authors.forename: Amanda
authors.initials: A
authors.lastname: Kamali
authors.affiliation: Departments of Radiology.
authors.forename: Hannah
authors.initials: H
authors.lastname: Kim
authors.affiliation: Public Health Laboratory, Los Angeles County Department of Public Health, Downey.
authors.forename: Nicole M
authors.initials: NM
authors.lastname: Green
authors.affiliation: Acute Communicable Disease Control, Los Angeles County Department of Public Health, Los Angeles.
authors.forename: Rachel
authors.initials: R
authors.lastname: Civen
authors.affiliation: Acute Communicable Disease Control, Los Angeles County Department of Public Health, Los Angeles.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Schwartz
authors.affiliation: Division of Pediatric Infectious Diseases.
authors.forename: Paul
authors.initials: P
authors.lastname: Krogstad
authors.affiliation: Division of Pediatric Infectious Diseases.
authors.forename: Jaime
authors.initials: J
authors.lastname: Deville
authors.affiliation: Division of Pediatric Infectious Diseases.
authors.forename: Nava
authors.initials: N
authors.lastname: Yeganeh
authors.affiliation: Division of Pediatric Infectious Diseases.
authors.forename: Debra
authors.initials: D
authors.lastname: Lugo
authors.affiliation: Division of Pediatric Infectious Diseases.
authors.forename: Amira
authors.initials: A
authors.lastname: Baker
authors.affiliation: Division of Pediatric Infectious Diseases.
authors.forename: Priya
authors.initials: P
authors.lastname: Soni
authors.affiliation: Department of Family Medicine, Northridge Hospital Medical Center, California.
authors.forename: Catherine
authors.initials: C
authors.lastname: Cho
authors.affiliation: Department of Family Medicine, Northridge Hospital Medical Center, California.
authors.forename: Natalia
authors.initials: N
authors.lastname: Svircic
authors.affiliation: Pathology and Laboratory Medicine.
authors.forename: Sarah
authors.initials: S
authors.lastname: Dry
authors.affiliation: Departments of Radiology.
authors.forename: Leanne
authors.initials: L
authors.lastname: Seeger
authors.affiliation: Department of Pediatrics.
authors.forename: Jessica
authors.initials: J
authors.lastname: Lloyd
authors.affiliation: Department of Pediatrics.
authors.forename: Grace
authors.initials: G
authors.lastname: Deukmedjian
authors.affiliation: Orthopedic Surgery, David Geffen UCLA School of Medicine, Los Angeles, California.
authors.forename: Richard
authors.initials: R
authors.lastname: Bowen
authors.affiliation: Infectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Gillian
authors.initials: G
authors.lastname: Hale
authors.affiliation: Infectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Sherif R
authors.initials: SR
authors.lastname: Zaki
authors.affiliation: Bacterial Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado.
authors.forename: Paul
authors.initials: P
authors.lastname: Mead
authors.affiliation: Division of Pediatric Infectious Diseases.
authors.forename: Karin
authors.initials: K
authors.lastname: Nielsen-Saines
mesh_terms: D000293:Adolescent; D001706:Biopsy; D006801:Humans; D015141:Los Angeles; D008297:Male; D010019:Osteomyelitis / Q000209:etiology* / Q000473:pathology; D010930:Plague / Q000150:complications* / Q000473:pathology; D018805:Sepsis / Q000382:microbiology / Q000473:pathology; D013977:Tibia / Q000473:pathology
keywords: Yersinia pestis; meningitis; multifocal osteomyelitis; plague osteomyelitis; plague septicemia