TY - JOUR
T1 - Ceftriaxone-resistant Salmonella enterica serotype Typhi in a pregnant traveller returning from Karachi, Pakistan to Denmark, 2019
AU - Engsbro, Anne Line
AU - Riis Jespersen, Hans Søe
AU - Goldschmidt, Maria Ingeborg
AU - Mollerup, Sarah
AU - Worning, Peder
AU - Pedersen, Martin Schou
AU - Westh, Henrik
AU - Schneider, Uffe Vest
PY - 2019
Y1 - 2019
N2 - We describe a ceftriaxone-resistant Salmonella Typhi bacteraemia in a pregnant woman returning from a family visit in Pakistan. Whole genome sequencing confirmed similarity to a Pakistani outbreak clone. Pregnancy and unawareness of this outbreak delayed appropriate antibiotic therapy. Concurrently, we detected faecal carriage of a carbapenemase-producing Escherichia coli. Awareness of the ongoing outbreak should affect empiric treatment of typhoid fever and hygiene precautions in travellers returning from Pakistan. Meropenem may be warranted in severe cases.
AB - We describe a ceftriaxone-resistant Salmonella Typhi bacteraemia in a pregnant woman returning from a family visit in Pakistan. Whole genome sequencing confirmed similarity to a Pakistani outbreak clone. Pregnancy and unawareness of this outbreak delayed appropriate antibiotic therapy. Concurrently, we detected faecal carriage of a carbapenemase-producing Escherichia coli. Awareness of the ongoing outbreak should affect empiric treatment of typhoid fever and hygiene precautions in travellers returning from Pakistan. Meropenem may be warranted in severe cases.
U2 - 10.2807/1560-7917.ES.2019.24.21.1900289
DO - 10.2807/1560-7917.ES.2019.24.21.1900289
M3 - Comment/debate
C2 - 31138366
SN - 1025-496X
VL - 24
JO - Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
JF - Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
IS - 21
ER -