Case Report

Infection and Reinfection with Salmonella Typhi- A Case from Hyderabad Outbreak due to Hesitancy of Vaccination

DOI https://doi.org/10.70302/jpsim.v2i4.2176
Received: 11 Aug 2021 Accepted: 16 Nov 2021 Published Online: 14 Dec 2021

Abstract

We report a case of Salmonella typhi reinfection from Hyderabad, the current outbreak area in Pakistan. A 3-year-old boy resident of Hyderabad, Sindh presented with enteric fever with XDR Salmonella typhi resistant to ceftriaxone and treated with azithromycin for total 2 weeks. After 18 days of defervescence, patient again developed fever and a repeat blood culture grew MDR Salmonella typhi sensitive to ceftriaxone. This case emphasizes the importance of availability and provision of clean water, awareness regarding intake of boiled water and hygienic food, and stress on educating and creating public awareness regarding vaccination against Salmonella typhi to avoid infection and reinfection.

Keywords
Salmonella typhi extensively drug-resistant multi drug resistant vaccination

How to Cite This Article

Fatima T, Haq I, Shaheen G. Infection and Reinfection with Salmonella Typhi- A Case from Hyderabad Outbreak due to Hesitancy of Vaccination. J Pak Soc Intern Med. 2021;2(4):334–335. doi:10.70302/jpsim.v2i4.2176

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Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

  1. World Health Organization. Typhoid vaccines: WHO position paper, March 2018–Recommendations. Vaccine. 2019;37(2):214-6.
  2. Federal Disease Surveillance and Response Unit Field Epidemiology & Disease Surveillance Division National Institute of Health (NIH) Islamabad. Weekly Field Epidemiology Report. 2021;3(2):3-9.

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CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2021 Journal of Pakistan Society of Internal Medicine.