PRO/EDR> Typhoid fever – USA (02): imported drug-resistant strains ex Pakistan, Iraq

Fever — United States
During February 2018-August 2019, CDC identified 33 ceftriaxone-resistant Typhi isolates from USA patients; no such isolates had been identified before 2018. Thirty isolates were from cases of XDR typhoid fever linked to travel to Pakistan; notably, these cases have occurred with increasing frequency and reflect the ongoing outbreak in Sindh province, with approximately 10 000 cases reported as of August 2019 (7). In November 2019, approximately 9.4 million children aged 9 months-15 years in