Paratyphi Pneumonia- Does What You Eat Matter?
OD01-OD03
Correspondence
Dr. VK Vineeth,
FNB Registrar, Department of Infectious Diseases, Apollo Hospitals, Chennai, Tamil Nadu, India.
E-mail: vineeth076@yahoo.co.in
Most common signs and symptoms of typhoid are localised to gastrointestinal system. Less commonly, extraintestinal infectious complications occur with enteric fever. This case report is about a 29-year-old female, without risk factors, who presented with fever, loose stools and cough of five days duration. The patient was diagnosed to have paratyphi A bacteraemia, with clinical and radiological features of pneumonia. Her sputum cultures were sterile, and hence paratyphi A pneumonia was diagnosed. She received 14 days of antimicrobial therapy and recovered. Vi-based monovalent vaccines do not offer protection against most paratyphoid fever, because only Salmonella serovars Typhi, and paratyphi C carry the Vi antigen. Further studies are needed on bivalent and polyvalent typhoid vaccines covering all serovars.