161 162 INDIAN JOURNAL OF MEDICAL SCIENCES
microbe and antibiotic therapy were effective Giardia lamblia and Salmonella paratyphi A
LETTER TO EDITOR
in control of the acute enteritis. Serum could associated with acute renal failure. Intern Med
not be tested by Widal test for quantification 1998;37:489-92.
SALMONELLA ENTERICA amoxicillin-clavulanic acid , tetracycline,
of antibodies to different salmonella antigens 2. Sakamato M, Adachi T, Sagara H, Kawata K, Itoh
SEROTYPE PARATYPHI chloramphenicol, gentamicin, ofloxacin, A, Izeki M. A case of imported paratyphoid fever
associated with Salmonella typhi, S. paratyphi
A INDUCED ACUTE DIARRHEA amikacin, er ythromycin, ciprofloxacin, associated with Giardia lamblia and Isospora belli
A. or S. paratyphi B.
pefloxacin, and gatifloxacin. The patient infection. Kansenshogaku Zasshi 1998;72:
received intravenous fluids, metronizadole, 1317-20.
Sir, Right now multidrug resistance among
pentaprazole, hydrocortisone and gatifloxacin 3. Tjaniadi P, Lesmanaubekti D, Subekti D,
Infections with Salmonella enterica serotype Salmonella paratyphi A isolates would not Machpud N, Komalarini S, Santoso W, et al.
paratyphi A are occasionally associated with intravenous. The response was remarkable
appear to be all that frequent in developing Antimicrobial resistance of bacterial pathogens
acute renal failure, 1 and diarrhea. 2 We and he was discharged with gatifloxacin for a
countries in Asia. 4 In all probability, associated with diarrheal patients in Indonesia.
encountered a case of Salmonella enterica further period of four days. He was lost for a
considerable period would elapse before one Am J Trop Med Hyg 2003;68:666-70.
serotype paratyphi A induced acute diarrhea subsequent evaluation. 4. Rajagopal A, Ramasamy R, Mahendran G,
could expect an ideal environmental sanitation
in a 45-year male in the Indian capital in typhoid-paratyphoid endemic area. Thomas M. Hepatic abscess complicating
metropolis of New Delhi. In southeast Asian countries, Salmonella paratyphoid infection. Trop Gastroenterol
Prophylactic vaccines could address the
paratyphi A is not regarded as all that common 2002;23:181-2.
scourge of enteric fevers. Prophylactic vaccines
A 45-year-male was suffering from high-grade enteric pathogen associated with acute 5. Al-Otaibi FE. Isolation of Salmonella paratyphi A
were available against Salmonella typhi,
fever with shivering and temperature reaching diarrhea.3 Nevertheless, Salmonella paratyphi from a patient with nephrolithiases. Saudi Med J
paratyphi A and paratyphi B. Constant 2003;24:406-8.
1050F for the past three days, nausea and A has been associated with replication at
exclusion of the paratyphoid A, B and C
loose water y stools for three days. On unusual locations. For example, it had caused
components from the recent typhoid vaccines
admission, his pulse was 96/minute, blood multiple liver abscesses in a 28-year-old male
is most unfor tunate. Such a combined PREVALENCE OF OVERWEIGHT
pressure 100/60 mmHg and temperature, of patient. The imaging studies revealed multiple
immunization agent would address a wide
990F. He had vague tenderness in abdomen liver abscesses and an ultrasound (US) guided AND OBESITY AMONGST
range of Salmonella induced enteric fever and
and there was no radiological abnormality in aspiration of the abscess yielded heavy growth ELDERLY PATIENTS ATTENDING
unusual manifestations at other sites.1,2
the chest. of Salmonella paratyphi A. 4 Salmonella A GERIATRIC CLINIC IN A
enterica serotype paratyphi A was also isolated TERTIARY CARE HOSPITAL IN
Examination of the loose stool showed mucus from the urine of a 37-year-old Saudi patient DELHI, INDIA
but no blood. Microscopic examination showed who was a known case of nephrolithiasis and
The technical assistance by Ms Seema George,
25-35 pus cells per high power field but no hydronephrosis with frequent admission for Sir,
Mr. Paras Ram Joshi, Ms Kamini Singh and
erythrocytes, cysts, or parasitic ova. Culture of management of renal stones.5 Elderly subjects now constitute 6.7% of
Ms Shirley Joseph is acknowledged.
the stool of MacConkey and Desoxyxcholate India’s population and this proportion is likely
citrate medium showed pure growth of one Current affliction of a 45-year-old male with to rise. 1 Elderly people in high and middle
Pawan Maheshwari, Sunil Gupta,*
type of non-lactose fermenting colonies. Gram acute diarrhea with pure bacterial growth in the Subhash C Arya, Shashi Khare,* Shiv Lal* income groups are vulnerable to over nutrition
staining showed Gram-negative bacill. stool on the fourth day of illness is intriguing. Sant Parmanand Hospital, 18 Alipore Road, Delhi - and obesity as aging is usually associated
The patient might have been labeled as an 110054, India; *National Institute of Communicable
Diseases, Delhi. E-mail: firstname.lastname@example.org with a decrease in physical activity and an
Isolate was characterized by biochemical and inflammatory bowel disease had it not been for increase in sedentar y lifestyle. 2 Limited
serological tests. Slide agglutination with typing the stool culture. There would be no chance studies have been conducted in India to
antisera (Central Research Institute, Kasauli) of a Salmonella enterica serotype paratyphi A assess the prevalence of overweight and
produced a profile of O: 2,H: a. The isolate was diagnosis. The patient responded well to one 1. Nakaya Y, Shiato S, Sakamoto K, Iwase A, Aoki obesity amongst elderly population and hence
sensitive to ampicillin, ampicillin-sulbactam, of the quinolones. Identification of the offending S, Matsuoka R, et al. Double infection with the present hospital based pilot study was
Indian J Med Sci Vol. 58 No. 4, April 2004 Indian J Med Sci Vol. 58 No. 4, April 2004