Abstract
A large for gestational age male baby was born to a healthy young primigravida, on L-thyroxime, at 40 weeks by caesarean delivery in a tertiary care hospital. The baby had episodes of hypoglycemia during his immediate four postnatal days in the nursery that were successfully managed with intravenous glucose administration. The baby became unwell on day 5 and had a positive sepsis-screening test. Blood culture revealed a multidrug susceptible S. Paratyphi A strain, which he probably acquired on the first or second postnatal day from the contaminated expressed breast milk or the formula feed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Baltimore RS. Perinatal bacterial and fungal infections. In Jenson HB & Baltimore RS, eds. Pediatric Infectious Diseases-Principles & Practice. 2nd edn; 2002. 1119–1134.
Bhutta ZA, Farooqui BJ, Sturm AW. Eradication of multiple drug resistant Salmonella Paratyphi A causing meningitis with Ciprofloxacin. J Infect 1992; 25(2): 215–219.
Sillkier JH and Gabis DA. Salmonellosis. In Balows A, Hausler WJ, Ohashi M and Turano A, eds. Laboratory diagnosis of infectious diseases-Principles and Practice. Vol. 1, Springer Verlag; 1988; 448–465.
MF Parker. Enteric infections: Typhoid and Paratyphoid fever. In Smith GR, Easmon CSF, eds. Topley and Wilson’s Principle of bacteriology, Virology and Immunology. 8th edn. Vol 3 (Bacterial diseases). Edward Arnold, 1990; 423–446.
Mendiratta DK, Deokale V. Enteric fever due to Salmonella Paratyphi A-an emerging problem. Indian J Med Microbiol 2004; 22(3): 196.
Walia M, Gaind R, Mehta R, Paul P, Aggarwal P, Kalaivani M. Current perspectives of enteric fever: a hospital based study from India. Ann Trop Paediatr 2005; 25(3): 161–174.
Sekar U, Srikanth P, Kindo AJ, Babu VP, Ramasubramaniam V. Increase in minimum inhibitory concentration to Quinolones and Ceftriaxone in Salmonellae causing enteric fever. J Commun Dis 2003; 35(3): 162–169.
Renuka K, Kapil A, Kabra SK, Wig N, Das BK, Prasad VV, Chaudhary R, Seth P. Reduced susceptibility to Ciprofloxacin and gyrase gene mutation in North Indian strains of Salmonella enterica serotype Typhi and serotype Paratyphi A. Microb Drug Resist 2004; 10(2): 146–153.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Randhawa, V.S., Kumar, A., Saili, A. et al. Paratyphoid sepsis. Indian J Pediatr 74, 197–198 (2007). https://doi.org/10.1007/s12098-007-0016-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12098-007-0016-z