First reported case of extensively drug‐resistant typhoid in Australia

Annaleise Howard‐Jones, Alison M Kesson, Alexander C Outhred and Philip N Britton
Med J Aust 2019; 211 (6): . || doi: 10.5694/mja2.50316
Published online: 16 September 2019

To the Editor: The period from January to March marks the peak season for travellers returning to Australia, and typhoid is a key illness of concern. Since 2016, an extensively drug‐resistant (XDR) typhoid clade has emerged in Pakistan, showing resistance to all first‐line agents.1,2 Over the past 2 years, seven cases have been reported in returned travellers — mostly children — from Pakistan to England, Germany and the United States.1,3,4

  • Annaleise Howard‐Jones1
  • Alison M Kesson1
  • Alexander C Outhred1
  • Philip N Britton1,2

  • 1 Children's Hospital at Westmead, Sydney, NSW
  • 2 University of Sydney, Sydney, NSW

Competing interests:

No relevant disclosures.


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