First Reported Case of Ceftriaxone-Resistant Typhoid Fever in the Middle-East

Introduction: Typhoid fever is a potential febrile illness caused by Salmonella enterica serovar Typhi. It is mainly transmitted through contaminated food and water, and spreads from infected persons and chronic carriers. Humans are the only reservoir host. There were many multi-drug resistant S. Ty...

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Main Authors: Gireesh Kumar Bharathan, Binoy Kurian
Format: Article
Language:English
Published: International Travel Medicine Center of Iran 2020-11-01
Series:International Journal of Travel Medicine and Global Health
Subjects:
Online Access:http://www.ijtmgh.com/article_119605_6e926c7708c40d5cf47db3b5f09e309c.pdf
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author Gireesh Kumar Bharathan
Binoy Kurian
author_facet Gireesh Kumar Bharathan
Binoy Kurian
author_sort Gireesh Kumar Bharathan
collection DOAJ
description Introduction: Typhoid fever is a potential febrile illness caused by Salmonella enterica serovar Typhi. It is mainly transmitted through contaminated food and water, and spreads from infected persons and chronic carriers. Humans are the only reservoir host. There were many multi-drug resistant S. Typhi cases reported in many parts of South Asia and Africa. However, since 2016there were reported case series of extended drug resistant S. Typhi from Pakistan (resistant to chloramphenicol, ampicillin, trimethoprim-sulfamethoxazole, fluoroquinolones and third generation cephalosporines). Genomic sequencing analysis of this organism was of haplotype H58 transmitted by a plasmid. Case Presentation: This is the first reported case of ceftriaxone-resistant typhoid fever in the Middle-East, who travelled from Pakistan to Qatar in September 2019. He recovered completely with injection meropenem and oral azithromycin. Conclusion: A detailed travel history and early diagnosis and treatment with appropriate drugs are inevitable in the management of such cases. Safe drinking water, improved sanitation and effective public health infrastructure will play a key role in the control of the disease.
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spelling doaj.art-a8eb3774aac246bb986527c51848cc9a2022-12-21T17:21:29ZengInternational Travel Medicine Center of IranInternational Journal of Travel Medicine and Global Health2322-11002476-57592020-11-0191394110.34172/ijtmgh.2021.07119605First Reported Case of Ceftriaxone-Resistant Typhoid Fever in the Middle-EastGireesh Kumar Bharathan0Binoy Kurian1Department of Internal Medicine, Dr. Moopans’ Aster Hospital, Doha, QatarDepartment of Microbiology, Dr. Moopen’s Aster Hospital, Doha, QatarIntroduction: Typhoid fever is a potential febrile illness caused by Salmonella enterica serovar Typhi. It is mainly transmitted through contaminated food and water, and spreads from infected persons and chronic carriers. Humans are the only reservoir host. There were many multi-drug resistant S. Typhi cases reported in many parts of South Asia and Africa. However, since 2016there were reported case series of extended drug resistant S. Typhi from Pakistan (resistant to chloramphenicol, ampicillin, trimethoprim-sulfamethoxazole, fluoroquinolones and third generation cephalosporines). Genomic sequencing analysis of this organism was of haplotype H58 transmitted by a plasmid. Case Presentation: This is the first reported case of ceftriaxone-resistant typhoid fever in the Middle-East, who travelled from Pakistan to Qatar in September 2019. He recovered completely with injection meropenem and oral azithromycin. Conclusion: A detailed travel history and early diagnosis and treatment with appropriate drugs are inevitable in the management of such cases. Safe drinking water, improved sanitation and effective public health infrastructure will play a key role in the control of the disease.http://www.ijtmgh.com/article_119605_6e926c7708c40d5cf47db3b5f09e309c.pdfsalmonella typhiantimicrobial resistanceenteric fever
spellingShingle Gireesh Kumar Bharathan
Binoy Kurian
First Reported Case of Ceftriaxone-Resistant Typhoid Fever in the Middle-East
International Journal of Travel Medicine and Global Health
salmonella typhi
antimicrobial resistance
enteric fever
title First Reported Case of Ceftriaxone-Resistant Typhoid Fever in the Middle-East
title_full First Reported Case of Ceftriaxone-Resistant Typhoid Fever in the Middle-East
title_fullStr First Reported Case of Ceftriaxone-Resistant Typhoid Fever in the Middle-East
title_full_unstemmed First Reported Case of Ceftriaxone-Resistant Typhoid Fever in the Middle-East
title_short First Reported Case of Ceftriaxone-Resistant Typhoid Fever in the Middle-East
title_sort first reported case of ceftriaxone resistant typhoid fever in the middle east
topic salmonella typhi
antimicrobial resistance
enteric fever
url http://www.ijtmgh.com/article_119605_6e926c7708c40d5cf47db3b5f09e309c.pdf
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