Raveendran R, Wattal C, Sharma A, Kler N, Garg P, Gujral K, Khera N
Department of Clinical Microbiology, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, India.
Indian J Pediatr. 2007 Aug;74(8):784-6. doi: 10.1007/s12098-007-0141-8.
Neonatal enteric fever is a rare but life-threatening illness. Patients may present with varying severity, Salmonella enterica serotype Typhi causing more severe illness than Salmonella enterica serotype Paratyphi A. Salmonella enterica serotype Paratyphi A is considered to cause milder infection with fewer complications. We report a rare case of vertical transmission of Salmonella enterica serotype Paratyphi A with severe complications and high mortality. Even though there are case reports of vertical transmission of Salmonella enterica serotype Typhi, to our knowledge, this is the first case report of vertical transmission of Salmonella enterica serotype ParatyphiA. The role of blood culture in accurate diagnosis and treatment is also discussed.
新生儿伤寒是一种罕见但危及生命的疾病。患者的病情严重程度各不相同,伤寒沙门菌引起的疾病比甲型副伤寒沙门菌更严重。甲型副伤寒沙门菌被认为会引起较轻的感染,并发症较少。我们报告了一例罕见的甲型副伤寒沙门菌垂直传播病例,该病例伴有严重并发症且死亡率高。尽管有伤寒沙门菌垂直传播的病例报告,但据我们所知,这是第一例甲型副伤寒沙门菌垂直传播的病例报告。本文还讨论了血培养在准确诊断和治疗中的作用。