title: Fever of unknown origin attributable to haematocolpos infected with Salmonella enterica Serotypetyphi resistant to nalidixic acid: a case report.
abstract: The prevalence of nalidixic acid-resistant Salmonella Typhi (NARST) infection is increasing worldwide. We are reporting an unusual case of infected haematocolpos presenting as urinary obstruction in a patient with fever of unknown origin (FUO). This case report highlights the importance of quinolone-resistant typhoid fever in the differential diagnosis of any acute febrile illness in countries, like India, where Salmonella infection is endemic.
authors.affiliation: Department of Microbiology, Lady Hardinge Medical College, New Delhi I 10 00 I1, India. sonalsaxena3@gmail.com
authors.forename: Sonal
authors.initials: S
authors.lastname: Saxena
authors.forename: Mayank
authors.initials: M
authors.lastname: Dwivedi
authors.forename: Priyam
authors.initials: P
authors.lastname: Batra
authors.forename: Renu
authors.initials: R
authors.lastname: Dutta
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002648:Child; D002939:Ciprofloxacin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D024881:Drug Resistance, Bacterial; D005260:Female; D005335:Fever of Unknown Origin / Q000188:drug therapy / Q000209:etiology*; D006399:Hematocolpos / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D008795:Metronidazole / Q000627:therapeutic use; D009268:Nalidixic Acid; D012485:Salmonella typhi / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D008795:Metronidazole; D009268:Nalidixic Acid; D002939:Ciprofloxacin; D002443:Ceftriaxone