A rare case of Salmonella Paratyphi A endocarditis

Non-typhoid endocarditis is uncommon. Non-typhoid Salmonella paratyphi A endocarditis is even more rare. Although the spectrum of available antibiotics is adequate for treatment, the importance of this condition stresses its rarity of occurrence and presentation. Here, we present the case of a middle-aged male suffering from S. paratyphi A endocarditis.

Learning objective

Salmonella paratyphi A endocarditis is extremely rare, mostly affecting the mitral valve. There is an increasing trend of S. paratyphi A infection in the Indian subcontinent. S. paratyphi A endocarditis should be suspected in all patients who have recurrent fever with chills for >3 to 4 weeks, associated with dyspnea on exertion and weight loss. Newer mutations with antibiotic resistance are becoming more common, which might pose serious problems.