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The <jats:italic>Salmonella enterica<\/jats:italic> serovar Typhi eventually isolated was resistant to amoxicillin, co-amoxiclav, co-trimoxazole and nalidixic acid and had reduced susceptibility to ciprofloxacin. He was successfully treated with ceftriaxone followed by azithromycin, but 1\u2005month later he remained fatigued and unable to work. The clinical and laboratory features of enteric fever are non-specific and the diagnosis should be considered in troops returning from an endemic area with a febrile illness. Multiple blood cultures and referral to a specialist unit may be required.<\/jats:p>","DOI":"10.1136\/jramc-2015-000470","type":"journal-article","created":{"date-parts":[[2015,8,4]],"date-time":"2015-08-04T21:21:53Z","timestamp":1438723313000},"page":"226-228","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Enteric fever in a British soldier from Sierra Leone"],"prefix":"10.1136","volume":"162","author":[{"given":"Lucy G","family":"Osborne","sequence":"first","affiliation":[{"name":"Department of Infection & Tropical Medicine, Birmingham Heartlands Hospital, Birmingham, UK"},{"name":"Army Medical Directorate, Camberley, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Brown","sequence":"additional","affiliation":[{"name":"Hospital for Tropical Diseases, University College London Hospital Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4840-5093","authenticated-orcid":false,"given":"M S","family":"Bailey","sequence":"additional","affiliation":[{"name":"Department of Infection & Tropical Medicine, Birmingham Heartlands Hospital, Birmingham, UK"},{"name":"Academic Department of Military Medicine, Royal Centre for Defence Medicine, Birmingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,8,4]]},"reference":[{"key":"2025081309111502000_162.3.226.1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.02.010401"},{"key":"2025081309111502000_162.3.226.2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70301-8"},{"key":"2025081309111502000_162.3.226.3","unstructured":"Curtain PD . 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