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Osborne, Lucy G, Brown, M and Bailey, M S (2016) Enteric fever in a British soldier from Sierra Leone. Journal of the Royal Army Medical Corps, 162 (3). pp. 226-8. ISSN 0035-8665. This article is available to all HEFT staff and students via ASK HEFT Discovery tool http://tinyurl.com/z795c8c using their HEFT Athens Login.
Full text not available from this repository.Abstract
Enteric fever (typhoid and paratyphoid) remains a threat to British troops overseas and causes significant morbidity and mortality. We report the case of a soldier who developed typhoid despite appropriate vaccination and field hygiene measures, which began 23 days after returning from a deployment in Sierra Leone. The incubation period was longer than average, symptoms started 2 days after stopping doxycycline for malaria chemoprophylaxis and initial blood cultures were negative. The Salmonella enterica serovar Typhi eventually isolated was resistant to amoxicillin, co-amoxiclav, co-trimoxazole and nalidixic acid and had reduced susceptibility to ciprofloxacin. He was successfully treated with ceftriaxone followed by azithromycin, but 1 month later he remained fatigued and unable to work. The clinical and laboratory features of enteric fever are non-specific and the diagnosis should be considered in troops returning from an endemic area with a febrile illness. Multiple blood cultures and referral to a specialist unit may be required.
| Item Type: | Article |
|---|---|
| Additional Information: | This article is available to all HEFT staff and students via ASK HEFT Discovery tool http://tinyurl.com/z795c8c using their HEFT Athens Login. |
| Subjects: | WC Communicabable diseases |
| Divisions: | Clinical Support > Infectious Diseases |
| Related URLs: | |
| Depositing User: | Mrs Adele Creak |
| Date Deposited: | 03 Mar 2017 11:07 |
| Last Modified: | 03 Mar 2017 11:07 |
| URI: | http://www.repository.uhblibrary.co.uk/id/eprint/1220 |
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