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Multiresistant Salmonella Typhi Infection in Cairo

机译：开罗地区多重耐药性伤寒沙门氏菌感染

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Reports of typhoid fever due to multiresistant Salmonella typhi infection haverecently outlined the problems of diagnosis and treatment. Ayyagari and Pal reported from India an outbreak of multiresistant S. typhi infection in 34 patients. These authors, however, stated that infection with S. typhi resistant to chloramphenicol, ampicillin and co-trimoxazole was quite rare. In our opinion this infection is not as rare as these authors suggested. During the past 6 months we in Cairo have diagnosed 4 patients, referred to us for prolonged undiagnosed fever of 2-3 months duration, as having enteric fever; blood cultures from all 4 patients grew S. typhi resistant to chloramphenicol, ampicillin, and co-trimoxazole. We stress the importance of recognizing the possibility of multiresistant S. typhi infection in patients with prolonged fever not responding to standard chemotherapy.

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