Presence of Enteric Fever with Unusual Clinical Scenarios: A Case Series
Published: May 1, 2024 | DOI: https://doi.org/10.7860/JCDR/2024/69057.19400
Vrushali Thakar, Mahadevan Kumar, Neetu Mehrotra, Prajakta Jadhav, Sunita Bhatawadekar
1. Associate Professor, Department of Microbiology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India.
2. Professor, Department of Microbiology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India.
3. Fellow, Department of Microbiology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India.
4. Postgraduate Student, Department of Microbiology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India.
5. Professor and Head, Department of Microbiology, Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, Maharashtra, India.
Correspondence Address :
Dr. Neetu Mehrotra,
Flat No. 4, B Building, Sacred Heart Town Society, Wanwadi, Pune City East-411040, Maharashtra, India.
E-mail: mehrotraneetu@gmail.com
Abstract
Salmonella species are associated with bacteraemia, diarrhoea, as well as focal infections. Salmonella Typhi is the most pathogenic species. Salmonella Paratyphi B commonly affects immunocompromised hosts. The present case series showcases six cases of infection caused by typhoidal Salmonellae with unusual clinical scenarios. The first case report explains a case of neonatal meningitis where the causative agent was S. Paratyphi B. A case of lumbar spondylodiscitis is also reported where the aetiology was found to be Salmonella Typhi. Case three reports S. Typhi infection in a patient with Pre-B cell Acute Lymphoblastic Leukemia (ALL). S. Paratyphi B was isolated from a blood culture of a patient on haemodialysis and also from ascitic fluid from a case of Chronic Liver Disease (CLD). S. Typhi was isolated from the pleural fluid of a patient with carcinoma of the prostate.
Keywords
Meningitis, Salmonella Paratyphi B, Spondylodiscitis