Rare serotype non-typhoidal Salmonella sepsis.
An 11-month female with a poor socio-economic status presented to a tertiary care paediatric hospital with complaints of fever of 4-5 days and diarrhoea of 20 days duration. The patient didn't respond to the prescribed antimicrobials namely--Norfloxacin and metronidazole. On admission she was diagnosed as persistent diarrhea with PEM grade III with sepsis. Stool examination and culture were negative for any pathogens, however blood culture yielded growth of Salmonella Virchow which was susceptible to most common antimicrobial agents excepting Trimethoprim Sulfamethoxazole. Salmonella Virchow is a common non-typhoidal Salmonellae causing bacteremia in the west, however this is the first report of bacteremia by S. virchow from India.
Randhawa
V S
VS
Department of Microbiology, Lady Hardinge Medical College and associated Kalawati Saran Children, Hospital, New Delhi, India. vsrandh@yahoo.com
Mehta
Geeta
G
Das
Anupam
A
Chugh
Anchan
A
Aneja
S
S
D016470:Bacteremia / Q000175:diagnosis / Q000382:microbiology*; D003968:Diarrhea, Infantile / Q000175:diagnosis / Q000382:microbiology*; D005260:Female; D006801:Humans; D007223:Infant; D012475:Salmonella / Q000302:isolation & purification*; D012480:Salmonella Infections / Q000175:diagnosis*