Open Access Peer-reviewed

An Altered Drug Resistance Pattern in Salmonella Typhi

Devindra Sehra1,, Sudhish Sehra2, Pooja Relia3, Shiv Tej Sehra4

1Senior Consultant Medicine, Maharaja Agrasen Hospital, New Delhi

2Senior Consultant Medicine, Balaji Action Hospital, New Delhi

3Consultant Medicine, Maharaja Agrasen Hospital, New Delhi

4Fellow, USA

American Journal of Infectious Diseases and Microbiology. 2013, 1(5), 84-85. DOI: 10.12691/ajidm-1-5-1
Published online: August 25, 2017

Abstract

Enteric fever is an endemic disease in the tropics and subtropical region. It is caused by the bacterium Salmonella typhi. It is a systemic disease and occurs by ingestion of infected food or water usually from a feco-oral source. It is primarily found in developing countries where sanitary conditions are poor . Despite the emergence of newer antibacterial drugs, enteric fever has continued to be a major health problem. S. typhi bacterium has gained resistance to antibiotics like ampicillin, ceftriaxone and cotrimoxazole, besides developing resistance to previously efficacious drugs like ciprofloxacin . The emergence of multidrug resistance to the commonly used antibiotics has further complicated the treatment and management of enteric fever and this is recognized as one of the greatest challenges in the management of the disease . Resistance to various antibiotics has been previously reported in Salmonella typhi. However, to the best of our knowledge, a strain that is resistant to 3rd generation cephalosporins, as well as commonly used fluoroquinolones but sensitive to chloramphenicol has not been identified yet. In this case report, we provide evidence of such a strain and its successful resolution through the use of chloramphenicol.

Keywords:

enteric fever, chloramphenicol, anti-microbial resistance, anti-bacterial drugs
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