1. Salmonelle d'origine indienne : attention à la fausse sensibilité aux fluoroquinolones
- Author
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Denes, E., Gondran, G., Bezanahary, H., Genet, C., Rogez, J.P., Weinbreck, P., and Martin, C.
- Subjects
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TYPHOID fever , *PARATYPHOID fever , *INFECTION , *CIPROFLOXACIN - Abstract
Abstract: We report the case of a patient presenting with typhoid fever after returning from a stay in India. This infection was not cured with a course of ciprofloxacin, due to a reduced susceptibility of the bacteria to the drug. This decreased susceptibility to fluoroquinolones was not detected by the antibiogram, but the MIC for nalidixic acid was greater than 32 mg/l. This case suggests using a third generation cephalosporin instead of a quinolone, for people coming from a high-risk zone. It also suggests that the MIC for nalidixic acid and for norfloxacin can be used as the first clue for a reduced susceptibility to fluoroquinolones. [Copyright &y& Elsevier]
- Published
- 2005
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