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Journal of Clinical Microbiology, February 2005, p. 996-998, Vol. 43, No. 2
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.2.996-998.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Nalidixic Acid-Resistant Salmonella enterica Serotype Typhi Presenting as a Primary Psoas Abscess: Case Report and Review of the Literature

William A. Shakespeare,1 Daniel Davie,2 Claude Tonnerre,3,4 Michael A. Rubin,3,4 Michael Strong,3 and Cathy A. Petti3,4,5*

University of Utah School of Medicine,1 Department of Family Practice,2 Department of Medicine,3 Division of Infectious Diseases,4 Department of Pathology, University of Utah Hospitals and Clinics, Salt Lake City, Utah5

Received 24 April 2004/ Returned for modification 29 May 2004/ Accepted 19 October 2004

We report an unusual case of Salmonella enterica serotype Typhi presenting as a primary psoas abscess. The isolate tested susceptible to ciprofloxacin but resistant to nalidixic acid in vitro, a pattern associated with fluoroquinolone therapeutic failures. We review the literature for serovar Typhi psoas abscess in the absence of bacteremia and discuss the importance of identifying isolates with reduced susceptibility to fluoroquinolones.


* Corresponding author. Mailing address: Department of Pathology, University of Utah Hospitals and Clinics, 500 Chipeta Way, Salt Lake City, UT 84108. Phone: (801) 583-2787, ext. 3174. Fax: (801) 584-5207. E-mail: cathy.petti{at}aruplab.com.


Journal of Clinical Microbiology, February 2005, p. 996-998, Vol. 43, No. 2
0095-1137/05/$08.00+0     doi:10.1128/JCM.43.2.996-998.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.




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