• J Formos Med Assoc · Dec 2022

    Clinical manifestations and microbiological features between indigenous and imported enteric fever in Taiwan, 2010-2020.

    • Chih-Ho Chen, Ying-Jie Hsu, Yi-Ching Chen, Shu-Shen Cheng, Kuang-Che Kuo, and Cheng-Hsun Chiu.
    • Division of Pediatric Infectious Diseases, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan; Graduate Institute of Clinical Medical Sciences, Chang Gung University College of Medicine, Taoyuan, Taiwan; Molecular Infectious Disease Research Center, Chang Gung Memorial Hospital, TaCyuan, Taiwan.
    • J Formos Med Assoc. 2022 Dec 1; 121 (12): 264426482644-2648.

    AbstractPrevious studies had showed that indigenous clones of Salmonella Typhi and S. Paratyphi were originally imported from other countries in Taiwan. We presented the clinical manifestations and laboratory findings of indigenous and imported enteric fever cases in Taiwan in the current decade. We retrospectively reviewed typhoid and paratyphoid fever cases in two medical centers of Chang Gung Memorial Hospitals in 2010-2020. A total of 37 enteric fever cases including 24 typhoid fever and 13 paratyphoid fever were recorded. There were 20 indigenous cases, 16 imported cases, and one indetermined case. Splenomegaly and hepatitis were more frequent in typhoid fever than in paratyphoid fever (P < 0.05). Imported cases had more ciprofloxacin non-susceptibility rate (8/16, 50.0%) than indigenous cases (2/20, 10%). Indigenous ciprofloxacin non-susceptible S. Typhi isolates were found in 2018. One indigenous S. Paratyphi B isolate was multi-drug resistant (MDR) to chloramphenicol, ampicillin, and trimethoprim/sulfamethoxazole.Copyright © 2022 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.

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