title: Paratyphoid sepsis.
abstract: A large for gestational age male baby was born to a healthy young primigravida, on L-thyroxime, at 40 weeks by caesarean delivery in a tertiary care hospital. The baby had episodes of hypoglycemia during his immediate four postnatal days in the nursery that were successfully managed with intravenous glucose administration. The baby became unwell on day 5 and had a positive sepsis-screening test. Blood culture revealed a multidrug susceptible S. Paratyphi A strain, which he probably acquired on the first or second postnatal day from the contaminated expressed breast milk or the formula feed.
authors.affiliation: Department of Microbiology, Lady Hardinge Medical College & associated Kalawati Saran Children Hospital, New Delhi, India. vsrandh@yahoo.com
authors.forename: V S
authors.initials: VS
authors.lastname: Randhawa
authors.forename: Ajay
authors.initials: A
authors.lastname: Kumar
authors.forename: Arvind
authors.initials: A
authors.lastname: Saili
authors.forename: Vikram
authors.initials: V
authors.lastname: Datta
authors.forename: Charu
authors.initials: C
authors.lastname: Agrawal
authors.forename: Geeta
authors.initials: G
authors.lastname: Mehta
mesh_terms: D000328:Adult; D000583:Amikacin / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001903:Bottle Feeding / Q000009:adverse effects*; D001942:Breast Feeding / Q000009:adverse effects*; D002585:Cesarean Section; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007194:India; D007262:Infusions, Intravenous; D008297:Male; D015242:Ofloxacin / Q000008:administration & dosage; D010284:Paratyphoid Fever / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D011247:Pregnancy; D018570:Risk Assessment; D012482:Salmonella paratyphi A / Q000302:isolation & purification*; D018805:Sepsis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D000583:Amikacin; D015242:Ofloxacin