{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T21:01:14Z","timestamp":1792616474438,"version":"4.5.0"},"reference-count":28,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,2,18]]},"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    A primigravida at 26 weeks\u2019 gestation visiting from Pakistan presented with fever, abdominal pain and hypotension suggestive of sepsis and required admission to the intensive care unit. Blood culture grew a multidrug-resistant (MDR)\n                    <jats:italic>Salmonella enterica<\/jats:italic>\n                    serovar Typhi isolate that was resistant to cephalosporins but susceptible to carbapenems. Intravenous meropenem was commenced, resulting in a rapid clinical improvement within 48 hours. She completed a 14-day course of meropenem without maternal or fetal adverse effects, and repeat blood cultures were sterile. The remainder of her pregnancy was uncomplicated, and she delivered a healthy term infant. This case highlights the diagnostic and therapeutic challenges of MDR, cephalosporin-resistant\n                    <jats:italic>Salmonella<\/jats:italic>\n                    Typhi infection during pregnancy and supports meropenem as an effective and potentially life-saving treatment associated with favourable maternal and fetal outcomes.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-271242","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T13:15:15Z","timestamp":1773062115000},"page":"e271242","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Ceftriaxone-resistant multidrug-resistant\n                    <i>Salmonella<\/i>\n                    Typhi sepsis in 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