# Carbapenem-Resistant Salmonella Typhi Infection in Traveler Returning to Germany from India, 2024

## TL;DR

A traveler returning to Germany from India had a Salmonella Typhi infection resistant to multiple antibiotics, including carbapenems, raising concerns about treatment options.

## Contribution

The report highlights a new case of carbapenem-resistant Salmonella Typhi, expanding the threat of antibiotic resistance in typhoid fever.

## Key findings

- The strain was resistant to carbapenems, extended spectrum β-lactams, fluoroquinolones, and tetracyclines.
- This case underscores the growing challenge of treating typhoid fever due to extensively drug-resistant Salmonella Typhi.

## Abstract

We report on a carbapenem-, extended spectrum β-lactam-, fluoroquinolone-, and tetracycline-resistant Salmonella enterica serovar Typhi strain in a patient returning to Germany from India. Considering the recent emergence of extensively drug-resistant Salmonella Typhi strains, further expansion of antibiotic resistance to carbapenems poses a serious threat for typhoid fever treatment.