Probable hemophagocytic lymphohistiocytosis by extensively drug‐resistant Salmonella Typhi

Cefdinir was started on day 9, however, on day 11, the patient had persistent fever and blood tests revealed thrombocytopenia. [...]she was referred to our hospital and admitted for suspected HLH (day 1 of hospitalization). On day 5 of hospitalization, antimicrobial susceptibility testing of the iso...

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Veröffentlicht in:Pediatric investigation 2022-01, Vol.64 (1), p.e14695-n/a
Hauptverfasser: Iwasaki, Tomoya, Hara, Hideki, Takahashi‐Igari, Miho, Matsuda, Yasutoshi, Imai, Hironori
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container_issue 1
container_start_page e14695
container_title Pediatric investigation
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creator Iwasaki, Tomoya
Hara, Hideki
Takahashi‐Igari, Miho
Matsuda, Yasutoshi
Imai, Hironori
description Cefdinir was started on day 9, however, on day 11, the patient had persistent fever and blood tests revealed thrombocytopenia. [...]she was referred to our hospital and admitted for suspected HLH (day 1 of hospitalization). On day 5 of hospitalization, antimicrobial susceptibility testing of the isolate revealed resistance to ampicillin, trimethoprim-sulfamethoxazole, ciprofloxacin, azithromycin, and ceftriaxone, with susceptibility to meropenem (Table 1). XDR S. Typhi has acquired resistance to three first-line drugs (chloramphenicol, ampicillin, and trimethoprim-sulfamethoxazole), fluoroquinolones, and third-generation cephalosporins. 2 XDR S. Typhi has plasmid-encoding resistance elements (blaCTX-M-15 extended-spectrum β-lactamase) and carries the qnrS-fluoroquinolone-resistance gene. 2 Since November 2016, 339 XDR typhoid cases have been reported in Sindh, Pakistan.
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source MEDLINE; Wiley Online Library Open Access; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Anti-Bacterial Agents - therapeutic use
Antibiotics
Bacterial infections
Blood tests
Case reports
Dengue fever
Drug resistance
hemophagocytic lymphohistiocytosis
hemophagocytic syndrome
Histiocytosis
Hospitalization
Humans
Infections
Informed consent
Lymphatic diseases
Lymphocytosis
Lymphohistiocytosis, Hemophagocytic - diagnosis
Lymphohistiocytosis, Hemophagocytic - drug therapy
meropenem
Microbial Sensitivity Tests
Pediatrics
Pharmaceutical Preparations
Salmonella
Salmonella enterica serovar Typhi
Salmonella typhi
Thrombocytopenia
Tropical diseases
Typhoid
typhoid fever
Typhoid Fever - complications
Typhoid Fever - diagnosis
Typhoid Fever - drug therapy
title Probable hemophagocytic lymphohistiocytosis by extensively drug‐resistant Salmonella Typhi
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