{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,24]],"date-time":"2025-08-24T23:03:30Z","timestamp":1756076610877},"reference-count":0,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":2191,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"},{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":2191,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[1994,1]]},"abstract":"<jats:p><jats:italic>Background: Salmonella typhi<\/jats:italic> may be a cause of significant morbidity and mortality in both the\nmother and fetus. Febrile illness during pregnancy, especially that associated with hemolysis, is\nassociated with chorioamnionitis, pyelonephritis, or viral syndrome. As such, <jats:italic>S. typhi<\/jats:italic> should be\nconsidered when a patient presents with a fever and hemolysis. We present a case of <jats:italic>S. typhi<\/jats:italic>\ncomplicating pregnancy.<\/jats:p><jats:p><jats:italic>Case:<\/jats:italic> A primigravida at 26 weeks gestation presented with persistent spiking temperature and\nsevere hemolysis. Her presenting signs and symptoms included fever, vomiting, cough, earache,\njaundice, dark urine, and anemia. After 4 units of blood, her posttransfusion hematocrit was 29%.\nHemolysis was evident on a peripheral blood smear. Total bilirubin was 2.5 mg\/dl and direct\nbilirubin was 1.2 mg\/dl. Gentamicin and clindamycin were administered empirically. Stool, blood,\nand urine cultures were obtained. Blood cultures were positive for <jats:italic>S. typhi<\/jats:italic>. Antibiotic coverage was\nchanged to gentamicin and ceftriaxone. She defervesced on the 5th day and had no further problems.\nA healthy male infant was delivered vaginally at term.<\/jats:p><jats:p><jats:italic>Conclusion:<\/jats:italic> Typhoid fever is a serious infection, and special concern arises when <jats:italic>S. typhi<\/jats:italic> complicates\npregnancy. The diagnosis of <jats:italic>S. typhi<\/jats:italic> should be considered in a gravida presenting with fever\nwith prompt institution of antibiotic therapy. Appropriate cultures are essential for confirming the\ndiagnosis.<\/jats:p>","DOI":"10.1155\/s1064744994000633","type":"journal-article","created":{"date-parts":[[2007,3,7]],"date-time":"2007-03-07T13:01:22Z","timestamp":1173272482000},"page":"186-189","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["<i>Salmonella typhi<\/i> and Pregnancy: A Case Report"],"prefix":"10.1155","volume":"2","author":[{"given":"Brion","family":"Gluck","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirk D.","family":"Ramin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan M.","family":"Ramin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1994,9,23]]},"container-title":["Infectious Diseases in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/1994\/531470.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/1994\/531470.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/S1064744994000633","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T20:00:55Z","timestamp":1723060855000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/S1064744994000633"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,1]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1994,1]]}},"alternative-id":["10.1155\/S1064744994000633"],"URL":"https:\/\/doi.org\/10.1155\/s1064744994000633","archive":["Portico"],"relation":{},"ISSN":["1064-7449"],"issn-type":[{"type":"print","value":"1064-7449"}],"subject":[],"published":{"date-parts":[[1994,1]]},"assertion":[{"value":"1994-06-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"1994-09-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2000-01-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}