Enteric fever in a British soldier from Sierra Leone.
J R Army Med Corps
; 162(3): 226-8, 2016 Jun.
Article
em En
| MEDLINE
| ID: mdl-26243802
ABSTRACT
Enteric fever (typhoid and paratyphoid) remains a threat to British troops overseas and causes significant morbidity and mortality. We report the case of a soldier who developed typhoid despite appropriate vaccination and field hygiene measures, which began 23â
days after returning from a deployment in Sierra Leone. The incubation period was longer than average, symptoms started 2â
days after stopping doxycycline for malaria chemoprophylaxis and initial blood cultures were negative. The Salmonella enterica serovar Typhi eventually isolated was resistant to amoxicillin, co-amoxiclav, co-trimoxazole and nalidixic acid and had reduced susceptibility to ciprofloxacin. He was successfully treated with ceftriaxone followed by azithromycin, but 1â
month later he remained fatigued and unable to work. The clinical and laboratory features of enteric fever are non-specific and the diagnosis should be considered in troops returning from an endemic area with a febrile illness. Multiple blood cultures and referral to a specialist unit may be required.
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MEDLINE
Assunto principal:
Febre Tifoide
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Militares
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article