Salmonella typhi

Precautions

See 'Additional Information'
See 'Additional Information'

General Information

Aerobic gram negative rod

Humans are the reservoir - fecal-oral transmission.

Increased prevalence in developing countries.

Highest prevalence South Asia.

  • Fever in Returning Traveler

  • Enteric fever

  • FUO

  • Bacteremia

  • Intra-abdominal abscess

  • Meningitis

  • Endovascular infection including endocarditis and infected atherosclerotic plaque/aneurysm - "sticky" organism

  • May require Contact Enteric precautions if diarrhea present

  • ID consult highly recommended

  • Very high rates of FQ resistance in Indian Subcontinent

  • Vaccination only prevents ~75% of disease

  • Chronic carriage associated with gallbladder disease

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