Enteric fever in a 5 - year - old child due to Salmonella typhi resistant to chloramphenicol and cotrimoxazole treated with ampicillin

We report a case of enteric fever in a 5-year-old child due to Salmonella typhi resistant to chloramphenicol and cotrimoxazole, successfully treated with ampicillin. The infection was most probably contracted in India. Clinicians and microbiologists in Saudi Arabia are advised to look out for cases of enteric fever due to multi-resistant strains of Salmonella typhi in nationals from the Indian subcontinent and from tourists returning from that part of the world

Are children with urinary tract infection adequately managed?

A retrospective study of 81 children; 19 males and 62 females, with urinary tract infection was carried out in a teaching hospital in Saudi Arabia. In children below 3 years of age, non-specific symptoms were common; fever was the presenting symptom in 62%, and vomiting in 33%. The most frequently isolated organism was Escherichia coli [74%], followed by Klebsiella aerogenes [12%]. Sensitivities of the isolated E. coli to sulphonamide and ampicillin were 15% and 22% respectively, while 67% were sensitive to cephradine. Only 48 patients [59%] had one or more imaging studies done and 22 [46%] of them were found to have significant radiologic abnormalities A plea is made for appropriate investigation of children with urinary tract infection with a minimum of an abdominal ultrasound and a micturating cystourogram. The local pattern of antibiotic sensitivities should be kept in mind when treating the patients