Abstract

Ciprofloxacin-Resistant Shigella sonnei Associated with Travel to India.

Highlights

  • This case series suggests that caution should be taken in the diagnosis and treatment of CL in patients returning from the Amazonian rainforest, and a species-specific approach based on molecular identification should be proposed to provide appropriate medical management (9)

  • L. braziliensis parasites usually fail to respond to pentamidine isethionate, the first-line treatment of L. guyanensis CL in French Guiana; instead, treatment of L. braziliensis infection relies on parenteral meglumine antimoniate or liposomal amphotericin B (1)

  • Pulsed-field gel electrophoresis (PFGE) was performed on all S. sonnei isolates by using the PulseNet method developed by the Centers for Disease Control and Prevention (3)

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Summary

Introduction

This case series suggests that caution should be taken in the diagnosis and treatment of CL in patients returning from the Amazonian rainforest, and a species-specific approach based on molecular identification should be proposed to provide appropriate medical management (9). Ciprofloxacin-Resistant Shigella sonnei Associated with Travel to India Niall De Lappe, Jean O’Connor, Patricia Garvey, Paul McKeown, Martin Cormican Susceptibility to ampicillin, chloramphenicol, streptomycin, sulfamethoxazole, tetracycline, trimethoprim, naladixic acid, ciprofloxacin, gentamicin, ceftazidime, cefpodoxime, and cefotaxime was assessed by using criteria from the European Committee on Antimicrobial Susceptibility Testing (http://www.eucast.org/clinical_breakpoints).

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