This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowReprints and Permissions
Right arrow Copyright Information
Right arrow Books from ASM Press
Right arrow MicrobeWorld
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sarnighausen, H.-E.
Right arrow Articles by Riemann, J. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sarnighausen, H.-E.
Right arrow Articles by Riemann, J. F.

 Previous Article  |  Next Article 

Journal of Clinical Microbiology, July 1999, p. 2381-2382, Vol. 37, No. 7
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.

Typhoid Fever Due to Salmonella Kapemba Infection in an Otherwise Healthy Middle-Aged Man

Hans-Eckart Sarnighausen,1,* Claus Benz,1 Martin Eickenberg,1 J. Bockemühl,2 H. Tschäpe,2 and Jürgen F. Riemann1

Department of Internal Medicine C, Clinic of the City of Ludwigshafen, D-67069 Ludwigshafen,1 and Robert Koch-Institut, D-13302 Berlin,2 Germany

Received 23 November 1998/Returned for modification 4 February 1999/Accepted 26 March 1999

We report the case of a patient with a Salmonella Kapemba infection, who suffered, 3 weeks after a holiday in Israel, occurrences of high fever and lower back pain for 10 days and icterus for 2 days before admission. Laboratory findings revealed a slight cholestasis and elevation of acute phase protein levels. In the blood culture a Salmonella Kapemba-type organism was cultured. The patient was afebrile for 10 days after hospitalization and then suddenly developed a temperature of 40°C again. At the same time leukopenia, thrombocytopenia, and a rise of D-dimer levels were detected. The patient was admitted to the intensive care unit for a few days, because a disseminated intravascular coagulation was suspected. With magnetic resonance imaging and bone scintigraphy no osteomyelitis or abscess formation could be found. A transesophageal ultrasonography of the heart revealed no signs of endocarditis. In multiple stool cultures no salmonellas could be detected. After antibiotic treatment with ciprofloxacin the fever and lower back pain subsided, and the patient was discharged a fortnight later. This is the first reported case of typhoid fever due to the bacterium Salmonella Kapemba.


* Corresponding author. Present address: An den Mühlwegen 34, D-55129 Mainz, Germany. Phone: 49-6131-58 23-54, Fax: 49-6131-58 23-59. E-mail: sarnigha{at}mail.uni-mainz.de.


Journal of Clinical Microbiology, July 1999, p. 2381-2382, Vol. 37, No. 7
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.