Aerobic gram negative rod
Humans are the reservoir - fecal-oral transmission.
Increased prevalence in developing countries.
Highest prevalence South Asia.
Fever in Returning Traveler
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