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| Year : 1993 | Volume
: 47
| Issue : 6 | Page : 147-51 |
Multiple drug resistant typhoid fever outbreak in Kashmir Valley.
MA Kamili, G Ali, MY Shah, S Rashid, S Khan, GQ Allaqaband
Department of Medicine, SMHS Hospital and Medical College, Srinagar-Kashmir,
Correspondence Address:
M A Kamili Department of Medicine, SMHS Hospital and Medical College, Srinagar-Kashmir

PMID: 8406648
We report the first ever report of multiple drug resistant salmonella typhi epidemic from Asia. The outbreak started in April 1988 and virtually ended by June 1988. The outbreak occurred in Baramullah town of Kashmir valley. In an epidemiological survey 230 cases were diagnosed as enteric fever. 46 cases (20%) were culture positive. A very rare multiple drug resistant strain of S. typhi was identified as phage type biotype II untypeable (UVS2). The strain was sensitive to Norfloxacin. This outbreak of S. typhi has many similarities with Mexico epidemic. Ingestion of contaminated water seems to be the possible cause for the outbreak.
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