Fever of Unknown Origin Attributable to Haematocolpos Infected with Salmonella enterica Serotype Typhi Resistant to Nalidixic Acid: A Case Report
نویسندگان
چکیده
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.
منابع مشابه
Treatment failure in a typhoid patient infected with nalidixic acid resistant S. enterica serovar Typhi with reduced susceptibility to Ciprofloxacin: a case report from Cameroon
BACKGROUND Fluoroquinolones or third generation cephalosporins are the drugs of choice for the treatment of typhoid fever. Treatment failure with fluoroquinolones has been reported in Asia and Europe. We report a case of ciprofloxacin treatment failure in typhoid fever in Cameroon. CASE PRESENTATION A 29-year-old female patient with suspected typhoid fever from Kumba, Cameroon, yielded growth...
متن کاملMultidrug resistant Salmonella enterica serovar typhi.
Nepal is having a series of enteric fever epidemics over the last decade1,2 with changing resistance patterns.3 The fi rst report of multidrug resistant Salmonella enterica serovar Typhi in Nepal was published in 1991.4 In the following years, with the introduction of fl uoroquinolones in the treatment, nalidixic acid-resistant strains associated with reduced susceptibility to fl oroquinolones ...
متن کاملNalidixic acid-resistant Salmonella enterica serotype Typhi presenting as a primary psoas abscess: case report and review of the literature.
We report an unusual case of Salmonella enterica serotype Typhi presenting as a primary psoas abscess. The isolate tested susceptible to ciprofloxacin but resistant to nalidixic acid in vitro, a pattern associated with fluoroquinolone therapeutic failures. We review the literature for serovar Typhi psoas abscess in the absence of bacteremia and discuss the importance of identifying isolates wit...
متن کاملClinical response and outcome of infection with Salmonella enterica serotype Typhi with decreased susceptibility to fluoroquinolones: a United States foodnet multicenter retrospective cohort study.
Patients with typhoid fever due to Salmonella enterica serotype Typhi strains for which fluoroquinolones MICs are elevated yet that are classified as susceptible by the current interpretive criteria of the Clinical and Laboratory Standards Institute may not respond adequately to fluoroquinolone therapy. Patients from seven U.S. states with invasive Salmonella serotype Typhi infection between 19...
متن کاملAntimicrobial Susceptibility Patterns of Salmonella enterica Serotype Typhi in Eastern Nepal
The aim of the present study was to evaluate antimicrobial susceptibility patterns with special reference to multidrug resistance, susceptibility to ciprofloxacin, and bacteriophage typing of Salmonella enterica serotype Typhi isolated from blood sent for culture in a tertiary-care teaching hospital in eastern Nepal during January 2000-December 2004. In total, 132 strains of S. enterica Typhi, ...
متن کامل