Imported typhoid fever with hepatitis from Bangladesh: a case of delayed response to ceftriaxone?
Typhoid fever due to multidrug-resistant (MDR) Salmonella typhi has been extensively reported. We present an imported case (from Bangladesh) of typhoid fever with typhoid hepatitis due to an MDR S typhi strain with clinically delayed response or reduced susceptibility to ceftriaxone. The relevant clinical and public health implications are discussed.
Pontali
Emanuele
E
Department of Infectious Diseases, Galliera Hospital, Genoa, Italy. pontals@yahoo.com
Feasi
Marcello
M
Usiglio
David
D
Mori
Marco
M
Cassola
Giovanni
G
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001459:Bangladesh; D002443:Ceftriaxone / Q000008:administration & dosage; D024901:Drug Resistance, Multiple, Bacterial; D006505:Hepatitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007558:Italy; D008297:Male; D012485:Salmonella typhi / Q000302:isolation & purification*; D014195:Travel; D016896:Treatment Outcome; D014435:Typhoid Fever / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents; D002443:Ceftriaxone