American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 459.e1-459.e7 , November 2009

Undiagnosed cases of fatal Clostridium-associated toxic shock in Californian women of childbearing age

  • Christine S. Ho, MD, MPH

      Affiliations

    • Surveillance for Unexplained Deaths (SUDS) Project, California Emerging Infections Program, Oakland, CA
    • Corresponding Author InformationReprints: Christine S. Ho, MD, CDC Field Medical Officer, SFDPH TB/Control 1001 Potrero Ave., Ward 94, San Francisco, CA 94110
    • ,
  • Julu Bhatnagar, PhD

      Affiliations

    • Division of Viral and Rickettsial Diseases, Infectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • Adam L. Cohen, MD, MPH

      Affiliations

    • Division of Healthcare Quality Promotion, Prevention and Response Branch, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • Jill K. Hacker, PhD, MPH

      Affiliations

    • Surveillance for Unexplained Deaths (SUDS) Project, California Emerging Infections Program, Oakland, CA
    • ,
  • Suzanne B. Zane, DVM

      Affiliations

    • Division of Reproductive Health, Maternal and Infant Health Branch, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • Sarah Reagan, MPH

      Affiliations

    • Unexplained Deaths Project, Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • Marc Fischer, MD, MPH

      Affiliations

    • Unexplained Deaths Project, Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • Wun-Ju Shieh, MD, PhD, MPH

      Affiliations

    • Division of Viral and Rickettsial Diseases, Infectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • Jeannette Guarner, MD

      Affiliations

    • Division of Viral and Rickettsial Diseases, Infectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • Shabbir Ahmad, DVM, PhD, MS

      Affiliations

    • California Maternal, Child and Adolescent Health Program, Sacramento, CA
    • ,
  • Sherif R. Zaki, MD, PhD

      Affiliations

    • Division of Viral and Rickettsial Diseases, Infectious Diseases Pathology Branch, Centers for Disease Control and Prevention, Atlanta, GA
    • ,
  • L. Clifford McDonald, MD

      Affiliations

    • Division of Healthcare Quality Promotion, Prevention and Response Branch, Centers for Disease Control and Prevention, Atlanta, GA

Received 25 December 2008 ,Revised 28 March 2009 ,Accepted 14 May 2009.

  • Image Result

    Flowchart

    CA, California; CSTS, C sordellii toxic shock; ICD-10, International Classification of Diseases, 10; IHC, immunohistochemistry; PCR, polymerase chain reaction.

    Ho. Undiagnosed cases of fatal C

    Flowchart

    CA, California; CSTS, C sordellii toxic shock; ICD-10, International Classification of Diseases, 10; IHC, immunohistochemistry; PCR, polymerase chain reaction.

    Ho. Undiagnosed cases of fatal Clostridium-associated toxic shock. Am J Obstet Gynecol 2009.

 Cite this article as: Ho CS, Bhatnagar J, Cohen AL, et al. Undiagnosed cases of fatal Clostridium-associated toxic shock in Californian women of childbearing age. Am J Obstet Gynecol 2009;201:459.e1-7.

 This study was supported by the Centers for Disease Control and Prevention Cooperative Agreement no. 1-U01/CI000309-02, California Emerging Infections Program, Oakland, CA.

PII: S0002-9378(09)00531-6

doi: 10.1016/j.ajog.2009.05.023

American Journal of Obstetrics & Gynecology
Volume 201, Issue 5 , Pages 459.e1-459.e7 , November 2009

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