Six Cases of Paratyphoid Fever Due to Salmonella Paratyphi A in Travelers Returning from Myanmar Between July 2014 and August 2015

Yuichi Katanami Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.

Search for other papers by Yuichi Katanami in
Current site
Google Scholar
PubMed
Close
,
Satoshi Kutsuna Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.

Search for other papers by Satoshi Kutsuna in
Current site
Google Scholar
PubMed
Close
,
Masatomo Morita Department of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan.

Search for other papers by Masatomo Morita in
Current site
Google Scholar
PubMed
Close
,
Hidemasa Izumiya Department of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan.

Search for other papers by Hidemasa Izumiya in
Current site
Google Scholar
PubMed
Close
,
Makoto Ohnishi Department of Bacteriology I, National Institute of Infectious Diseases, Tokyo, Japan.

Search for other papers by Makoto Ohnishi in
Current site
Google Scholar
PubMed
Close
,
Kei Yamamoto Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.

Search for other papers by Kei Yamamoto in
Current site
Google Scholar
PubMed
Close
,
Nozomi Takeshita Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.

Search for other papers by Nozomi Takeshita in
Current site
Google Scholar
PubMed
Close
,
Kayoko Hayakawa Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.

Search for other papers by Kayoko Hayakawa in
Current site
Google Scholar
PubMed
Close
,
Shuzo Kanagawa Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.

Search for other papers by Shuzo Kanagawa in
Current site
Google Scholar
PubMed
Close
,
Yasuyuki Kato Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.

Search for other papers by Yasuyuki Kato in
Current site
Google Scholar
PubMed
Close
, and
Norio Ohmagari Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.

Search for other papers by Norio Ohmagari in
Current site
Google Scholar
PubMed
Close
Restricted access

We report six cases of Salmonella enterica serotype Paratyphi A infections in travelers returning from Myanmar. In 2015, 31 cases of paratyphoid fever were reported in Japan, and 54.8% of those traveled to Myanmar. Among them, six patients presented to our hospital. They had traveled to Myanmar from July 2014 to August 2015 for business purposes. All six isolates were phage type 1, and they were resistant to nalidixic acid.

Author Notes

* Address correspondence to Yuichi Katanami, Disease Control and Prevention Center, National Center for Global Health and Medicine, Toyama 1-21-1, Shinjuku-ku, Tokyo 162-8655, Japan. E-mail: yuichi.katanami@gmail.com

Financial support: This work was supported by a grant from the National Center for Global Health and Medicine (27-6001).

Authors' addresses: Yuichi Katanami, Satoshi Kutsuna, Kei Yamamoto, Nozomi Takeshita, Kayoko Hayakawa, Shuzo Kanagawa, Yasuyuki Kato, and Norio Ohmagari, National Center for Global Health and Medicine, Disease Control and Prevention Center, Toyama 1-21-1, Shinjuku-ku, Tokyo, Japan, E-mails: yuichi.katanami@gmail.com, sonare.since1192@gmail.com, nicepoko@gmail.com, nozomitake@gmail.com, kayokohayakawa@gmail.com, shuzokanagawa@gmail.com, ykato@hosp.ncgm.go.jp, and lukenorioom@gmail.com. Masatomo Morita, Hidemasa Izumiya, and Makoto Ohnishi, Department of Bacteriology, National Institute of Infectious Diseases, Tokyo, Japan, E-mails: mmorita@niid.go.jp, izumiya@nih.go.jp, and ohnishi7@nih.go.jp.

  • 1.

    Arndt MB, Mosites EM, Tian M, Forouzanfar MH, Mokhdad AH, Meller M, Ochiai RL, Walson JL, 2014. Estimating the burden of paratyphoid a in Asia and Africa. PLoS Negl Trop Dis 8: e2925.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Aye TT, Siriarayapon P, 2004. Typhoid fever outbreak in Madaya Township, Mandalay Division, Myanmar, September 2000. J Med Assoc Thai 87: 395399.

  • 3.

    Clinical and Laboratory Standards Institute (CLSI), 2016. Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Sixth Informational Supplement. M100-S26. Wayne, PA: CLSI.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    National Institute of Infectious Diseases, 2015. Infectious Diseases Weekly Report Japan. Available at: http://www.nih.go.jp/niid/ja/idwr.html. Accessed April 12, 2016.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Saitoh T, Morita M, Shimada T, Izumiya H, Kanayama A, Oishi K, Ohnishi M, Sunagawa T, 2016. Increase in paratyphoid fever cases in Japanese travellers returning from Cambodia in 2013. Epidemiol Infect 144: 602606.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Ministry of Hotels and Tourism, 2015. Myanmar Tourism Statistics. Available at: http://www.myanmartourism.org/index.php/publication/tourism-statistics. Accessed April 12, 2016.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    National Institute of Infectious Diseases, 2015. Infectious Agents Surveillance Report. Available at: http://www.nih.go.jp/niid/ja/iasr.html. Accessed April 12, 2016.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    ECDC, 2013. Rapid Risk Assessment. Unusual Increase in Reported Cases of Paratyphoid: A Fever among Travelers Returning from Cambodia. Available at: http://www.ecdc.europa.eu/en/publications/Publications/paratyphoid-fever-cambodia-rarap-risk-assessment.pdf. Accessed April 12, 2016.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Hassing RJ, Menezes GA, van Pelt W, Petit PL, van Genderen PJ, Goessens WH, 2011. Analysis of mechanisms involved in reduced susceptibility to ciprofloxacin in Salmonella enterica serotypes Typhi and Paratyphi A isolates from travellers to southeast Asia. Int J Antimicrob Agents 37: 240243.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Meltzer E, Stienlauf S, Leshem E, Sidi Y, Schwartz E, 2014. A large outbreak of Salmonella Paratyphi A infection among Israeli travelers to Nepal. Clin Infect Dis 58: 359364.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Hassing RJ, Goessens WH, Mevius DJ, van Pelt W, Mouton JW, Verbon A, van Genderen PJ, 2013. Decreased ciprofloxacin susceptibility in Salmonella typhi and Paratyphi infections in ill-returned travellers: the impact on clinical outcome and future treatment options. Eur J Clin Microbiol Infect Dis 32: 12951301.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Crump JA, Mintz ED, 2010. Global trends in typhoid and paratyphoid Fever. Clin Infect Dis 50: 241246.

  • 13.

    Tourdjman M, Le Hello S, Gossner C, Delmas G, Tubiana S, Fabre L, Kerléguer A, Tarantola A, Fruth A, Friesema I, Thorstensen Brandal L, Lawrence J, Fisher I, Dufour M, Weill FX, de Valk H, 2013. Unusual increase in reported cases of paratyphoid A fever among travellers returning from Cambodia, January to September 2013. Euro Surveill 18: 20594.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Shwe TN, Nyein MM, Yi W, Mon A, 2002. Blood culture isolates from children admitted to Medical Unit III, Yangon Children's Hospital, 1998. Southeast Asian J Trop Med Public Health 33: 764771.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Sahastrabuddhe S, Carbis R, Wierzba TF, Ochiai RL, 2013. Increasing rates of Salmonella Paratyphi A and the current status of its vaccine development. Expert Rev Vaccines 12: 10211031.

    • PubMed
    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 43 43 9
Full Text Views 242 16 0
PDF Downloads 66 4 0
 
Membership Banner
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save