A Case of Imported Paratyphoid Fever Associated with Giardia lamblia and Isospora belli Infection

• Published in: Kansenshogaku Zasshi Vol. 72; no. 12; pp. 1317 - 1320
• Main Authors: SAKAMOTO, Mitsuo, ADACHI, Takuya, SAGARA, Hiroko, KAWATA, Kaoru, ITOH, Akira, IZEKI, Motohiro
• Format: Journal Article
• Language: Japanese
• Published: Japan The Japanese Association for Infectious Diseases 01.12.1998
• Subjects: Adult; Animals; Coccidiosis - complications; Coccidiosis - parasitology; Female; Giardia lamblia - isolation & purification; Giardiasis - complications; Giardiasis - parasitology; Humans; imported infection; Isospora - isolation & purification; Isospora belli; Nepal; paratyphoid fever; Paratyphoid Fever - complications; Paratyphoid Fever - microbiology; Salmonella paratyphi A - isolation & purification; Travel; Nepal
• ISSN: 0387-5911; 1884-569X
• DOI: 10.11150/kansenshogakuzasshi1970.72.1317

We report a case of imported paratyphoid fever associated with Giardia lamblia and Isospora belli infection. The patient was a 23-year-old Japanese female with complaints of high grade fever and diarrea after 10 days traveling to Nepal. Salmonella Paratyphi A was isolated from the blood and fecal cultures on admision and Ciprofloxacin of 200 mg tid was administered for 14 days. Fecal examination revealed cysts of G.lamblia at the same time and metronidazole of 250 mg tid for 7 days was effective for their eradication. During the follow-up studies oocysts of I. belli were found and cotrimoxazole of 960mg bid for 10 days was effective for their eradication. Fecal examinations on parasites which is rare in Japan such as I. belli are recommended to the cases returning from tropical areas.