1887

Abstract

Enteric fever, caused by serotype Typhi (typhoid fever) or serotype Paratyphi A, B or C (paratyphoid fever), is a major health problem in developing countries. Vertical transmission of can cause miscarriage, still birth, preterm labour and neonatal sepsis. In the literature, many cases of vertical transmission of Typhi from mother to foetus have been reported, but there are very limited studies showing vertical transmission of Paratyphi.

Here, we report a rare case of serotype Paratyphi A infection in a pregnant woman resulting in a spontaneous miscarriage. serotype Paratyphi A was isolated from placental membrane in culture.

A high index of suspicion, along with timely cultures of relevant samples, like blood and stool, and timely initiation of antibiotic therapy in pregnancy could possibly save the lives of such foetuses.

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/content/journal/jmmcr/10.1099/jmmcr.0.005127
2017-11-02
2019-12-14
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References

  1. Kanungo S, Dutta S, Sur D. Epidemiology of typhoid and paratyphoid fever in India. J Infect Dev Ctries 2008;2:454–460
    [Google Scholar]
  2. Poonia S, Satia MN, Torame VP, Natraj G. Vertical transmission of Salmonella typhi. J Postgrad Gynecol Obstet 2015;2:www.jpgo.org/2015/01/vertical-transmission-of-salmonella.html
    [Google Scholar]
  3. Mohanty S, Gaind R, Sehgal R, Chellani H, Deb M. Neonatal sepsis due to Salmonella Typhi and Paratyphi A. J Infect Dev Ctries 2009;3:633–638[PubMed]
    [Google Scholar]
  4. Raveendran R, Wattal C, Sharma A, Kler N, Garg P et al. Vertical transmission of Salmonella paratyphi A. Indian J Pediatr 2007;74:784–786 [CrossRef][PubMed]
    [Google Scholar]
  5. Hicks HT, French H. Typhoid fever and pregnancy, with special reference to fœtal infection. The Lancet 1905;1:1491–1493 [CrossRef]
    [Google Scholar]
  6. Crump JA, Luby SP, Mintz ED. The global burden of typhoid fever. Bull World Health Organ 2004;82:346–353[PubMed]
    [Google Scholar]
  7. Chandel DS, Chaudhry R, Dhawan B, Pandey A, Dey AB. Drug-resistant Salmonella enterica serotype paratyphi A in India. Emerg Infect Dis 2000;6:420–421 [CrossRef][PubMed]
    [Google Scholar]
  8. Gupta V, Kaur J, Chander J. An increase in enteric fever cases due to Salmonella Paratyphi A in & around Chandigarh. Indian J Med Res 2009;129:95–98[PubMed]
    [Google Scholar]
  9. Sood S, Kapil A, Dash N, Das BK, Goel V et al. Paratyphoid fever in India: an emerging problem. Emerg Infect Dis 1999;5:483–484[Crossref]
    [Google Scholar]
  10. Roberts C, Wilkins EG. Salmonella screening of pregnant women. J Hosp Infect 1987;10:67–72 [CrossRef][PubMed]
    [Google Scholar]
  11. Khatri NS, Maskey P, Poudel S, Jaiswal VK, Karkey A et al. Gallbladder carriage of Salmonella paratyphi A may be an important factor in the increasing incidence of this infection in South Asia. Ann Intern Med 2009;150:567–568 [CrossRef][PubMed]
    [Google Scholar]
  12. Chaouat G. Innately moving away from the Th1/Th2 paradigm in pregnancy. Clin Exp Immunol 2003;131:393–395 [CrossRef][PubMed]
    [Google Scholar]
  13. Smith JL. Foodborne infections during pregnancy. J Food Prot 1999;62:818–829 [CrossRef][PubMed]
    [Google Scholar]
  14. Reed RP, Klugman KP. Neonatal typhoid fever. Pediatr Infect Dis J 1994;13:774–776 [CrossRef][PubMed]
    [Google Scholar]
  15. Kamara JA, Noni LJ. Abortions in N'Dama cattle due to salmonellosis. Trop Anim Health Prod 1983;15:58–60 [CrossRef][PubMed]
    [Google Scholar]
  16. Seoud M, Saade G, Uwaydah M, Azoury R. Typhoid fever in pregnancy. Obstet Gynecol 1988;71:711–714[PubMed]
    [Google Scholar]
  17. Bhat P, Dias M, Hegde R, Pinto H. Salmonella Paratyphi B septicemia in a neonate. J Clin Neonatol 2013;2:93–94 [CrossRef][PubMed]
    [Google Scholar]
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