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Paratyphoid Fever Outbreak in an apartment building of Changzamtog, Thimphu, Bhutan, June 2017

Salmonella enterica is the leading cause of community-acquired bloodstream infection in low and middle income countries (1). Salmonella enterica serovar paratyphi B causes two clinical syndromes: paratyphoid fever and self limited gastroenteritis (2). It is predominantly transmitted through water or food contaminated with feces. The risk for infection is high with poor sanitation and lack of access to safe water and food. Fever, headache, malaise and anorexia are the most common clinical manifestation of the disease (3).
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