Rare serotype non-typhoidal salmonella sepsis

An 11-month female with a poor socio-economic status presented to a tertiary care paediatric hospital with complaints of fever of 4–5 days and diarrhoea of 20 days duration. The patient didn’t respond to the prescribed antimicrobials namely—Norfloxacin and metronidazole. On admission she was diagnosed as persistent diarrhea with, PEM grade Ill with sepsis. Stool examination and culture were negative for any pathogens, however blood culture yielded growth ofSalmonella Virchow which was susceptible to most common antimicrobial agents excepting Trimethoprim Sulfamethoxazole.Salmonella Virchow is a common non-typhoidal Salmonellae causing bacteremia in the west, however this is the first report of bacteremia byS. virchow from India.

一名社会经济状况不佳的11个月女婴，因发热4 - 5天和腹泻20天，被送往一家三级儿科医院就诊。患者对诺氟沙星和甲硝唑等处方抗菌药物无反应。入院时，她被诊断为迁延性腹泻、伴有Ⅲ级蛋白质 - 能量营养不良（PEM）和败血症。粪便检查和培养未发现任何病原体，但血液培养显示出维肖沙门氏菌生长，该菌对除复方磺胺甲恶唑外的大多数常见抗菌药物敏感。维肖沙门氏菌是西方一种常见的引起菌血症的非伤寒沙门氏菌，但这是印度首次关于维肖沙门氏菌引起菌血症的报道。