Queensland typhoid cluster linked to twelve-year carriage of Salmonella Typhi

Authors

  • Marguerite Dalmau Communicable Diseases Branch, Department of Health, Queensland Health, Brisbane; National Centre for Epidemiology and Population Health, The Australian National University, Canberra
  • Shuo Meng Song Metro North Public Health Unit, Metro North Health, Queensland Health, Brisbane
  • Megan Young Metro North Public Health Unit, Metro North Health, Queensland Health, Brisbane; School of Medicine and Dentistry, Griffith University, Gold Coast
  • Stephen Lambert Communicable Diseases Branch, Department of Health, Queensland Health, Brisbane; National Centre for Epidemiology and Population Health, Australian National University, Canberra
  • Rikki Graham Molecular Epidemiology Public Health Microbiology and Queensland Public Health and Infectious Diseases Reference Genomics (Q-PHIRE Genomics), Forensic and Scientific Services, Queensland Health
  • Gino Micalizzi Molecular Epidemiology Public Health Microbiology and Queensland Public Health and Infectious Diseases Reference Genomics (Q-PHIRE Genomics), Forensic and Scientific Services, Queensland Health
  • Emma Field National Centre for Epidemiology and Population Health, Australian National University, Canberra
  • Robert Bell OzFoodNet, Communicable Diseases Branch, Department of Health, Queensland Health, Brisbane
  • Amy V Jennison Molecular Epidemiology Public Health Microbiology and Queensland Public Health and Infectious Diseases Reference Genomics (Q-PHIRE Genomics), Forensic and Scientific Services, Queensland Health
  • Russell Stafford OzFoodNet, Communicable Diseases Branch, Department of Health, Queensland Health, Brisbane

DOI:

https://doi.org/10.33321/cdi.2022.46.27

Keywords:

Salmonella, chronic carriage, S. Typhi

Abstract

In September 2021, a household cluster of three typhoid cases was investigated by Queensland public health authorities. Through case interviews and molecular typing, the investigation revealed chronic carriage of Salmonella Typhi persisting at least 12 years in the index case. This case report summarises the investigation and highlights the complexity of chronic pathogen carriage in the control and management of typhoid disease. Our findings raise considerations for prevention and treatment guidelines in Australia and demonstrate the beneficial role of molecular typing for complex case investigations.

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References

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Published

19/05/22

How to Cite

Dalmau, Marguerite, Shuo Meng Song, Megan Young, Stephen Lambert, Rikki Graham, Gino Micalizzi, Emma Field, Robert Bell, Amy V Jennison, and Russell Stafford. 2022. “Queensland Typhoid Cluster Linked to Twelve-Year Carriage of Salmonella Typhi”. Communicable Diseases Intelligence 46 (May). https://doi.org/10.33321/cdi.2022.46.27.

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