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Journal of Clinical Microbiology, July 1999, p. 2381-2382, Vol. 37, No. 7
Department of Internal Medicine C,
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.
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
*
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.
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