Clinical manifestations and microbiological features between indigenous and imported enteric fever in Taiwan, 2010–2020

Previous studies had showed that indigenous clones of Salmonella Typhi and S. Paratyphi were originally imported from other countries in Taiwan. We presented the clinical manifestations and laboratory findings of indigenous and imported enteric fever cases in Taiwan in the current decade. We retrosp...

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Main Authors: Chih-Ho Chen, Ying-Jie Hsu, Yi-Ching Chen, Shu-Shen Cheng, Kuang-Che Kuo, Cheng-Hsun Chiu
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664622002509
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author Chih-Ho Chen
Ying-Jie Hsu
Yi-Ching Chen
Shu-Shen Cheng
Kuang-Che Kuo
Cheng-Hsun Chiu
author_facet Chih-Ho Chen
Ying-Jie Hsu
Yi-Ching Chen
Shu-Shen Cheng
Kuang-Che Kuo
Cheng-Hsun Chiu
author_sort Chih-Ho Chen
collection DOAJ
description Previous studies had showed that indigenous clones of Salmonella Typhi and S. Paratyphi were originally imported from other countries in Taiwan. We presented the clinical manifestations and laboratory findings of indigenous and imported enteric fever cases in Taiwan in the current decade. We retrospectively reviewed typhoid and paratyphoid fever cases in two medical centers of Chang Gung Memorial Hospitals in 2010–2020. A total of 37 enteric fever cases including 24 typhoid fever and 13 paratyphoid fever were recorded. There were 20 indigenous cases, 16 imported cases, and one indetermined case. Splenomegaly and hepatitis were more frequent in typhoid fever than in paratyphoid fever (P < 0.05). Imported cases had more ciprofloxacin non-susceptibility rate (8/16, 50.0%) than indigenous cases (2/20, 10%). Indigenous ciprofloxacin non-susceptible S. Typhi isolates were found in 2018. One indigenous S. Paratyphi B isolate was multi-drug resistant (MDR) to chloramphenicol, ampicillin, and trimethoprim/sulfamethoxazole.
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spelling doaj.art-816edd0614bf4111b4f84ac74f7c285b2022-12-22T04:38:56ZengElsevierJournal of the Formosan Medical Association0929-66462022-12-011211226442648Clinical manifestations and microbiological features between indigenous and imported enteric fever in Taiwan, 2010–2020Chih-Ho Chen0Ying-Jie Hsu1Yi-Ching Chen2Shu-Shen Cheng3Kuang-Che Kuo4Cheng-Hsun Chiu5Division of Pediatric Infectious Diseases, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; Graduate Institute of Clinical Medical Sciences, Chang Gung University College of Medicine, Taoyuan, Taiwan; Molecular Infectious Disease Research Center, Chang Gung Memorial Hospital, TaCyuan, TaiwanDepartment of Pediatrics, Chang Gung Memorial Hospital, Taipei, Taiwan; Molecular Infectious Disease Research Center, Chang Gung Memorial Hospital, TaCyuan, TaiwanDepartment of Pediatrics, Chang Gung Memorial Hospital, Taipei, Taiwan; Molecular Infectious Disease Research Center, Chang Gung Memorial Hospital, TaCyuan, TaiwanDepartment of Laboratory Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, TaiwanDivision of Pediatric Infectious Diseases, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, TaiwanMolecular Infectious Disease Research Center, Chang Gung Memorial Hospital, TaCyuan, Taiwan; Division of Pediatric Infectious Diseases, Chang Gung Children's Hospital, Chang Gung Memorial Hospital, Linkou, Taiwan; Corresponding author. Division of Pediatric Infectious Diseases, Department of Pediatrics, Chang Gung Memorial Hospital, No.5 Fu-Hsin Street, Kweishan 333, Taoyuan, Taiwan.Previous studies had showed that indigenous clones of Salmonella Typhi and S. Paratyphi were originally imported from other countries in Taiwan. We presented the clinical manifestations and laboratory findings of indigenous and imported enteric fever cases in Taiwan in the current decade. We retrospectively reviewed typhoid and paratyphoid fever cases in two medical centers of Chang Gung Memorial Hospitals in 2010–2020. A total of 37 enteric fever cases including 24 typhoid fever and 13 paratyphoid fever were recorded. There were 20 indigenous cases, 16 imported cases, and one indetermined case. Splenomegaly and hepatitis were more frequent in typhoid fever than in paratyphoid fever (P < 0.05). Imported cases had more ciprofloxacin non-susceptibility rate (8/16, 50.0%) than indigenous cases (2/20, 10%). Indigenous ciprofloxacin non-susceptible S. Typhi isolates were found in 2018. One indigenous S. Paratyphi B isolate was multi-drug resistant (MDR) to chloramphenicol, ampicillin, and trimethoprim/sulfamethoxazole.http://www.sciencedirect.com/science/article/pii/S0929664622002509Enteric feverTyphoidIndigenousImportedCiprofloxacin
spellingShingle Chih-Ho Chen
Ying-Jie Hsu
Yi-Ching Chen
Shu-Shen Cheng
Kuang-Che Kuo
Cheng-Hsun Chiu
Clinical manifestations and microbiological features between indigenous and imported enteric fever in Taiwan, 2010–2020
Journal of the Formosan Medical Association
Enteric fever
Typhoid
Indigenous
Imported
Ciprofloxacin
title Clinical manifestations and microbiological features between indigenous and imported enteric fever in Taiwan, 2010–2020
title_full Clinical manifestations and microbiological features between indigenous and imported enteric fever in Taiwan, 2010–2020
title_fullStr Clinical manifestations and microbiological features between indigenous and imported enteric fever in Taiwan, 2010–2020
title_full_unstemmed Clinical manifestations and microbiological features between indigenous and imported enteric fever in Taiwan, 2010–2020
title_short Clinical manifestations and microbiological features between indigenous and imported enteric fever in Taiwan, 2010–2020
title_sort clinical manifestations and microbiological features between indigenous and imported enteric fever in taiwan 2010 2020
topic Enteric fever
Typhoid
Indigenous
Imported
Ciprofloxacin
url http://www.sciencedirect.com/science/article/pii/S0929664622002509
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