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. 2019 Oct 30;69(Suppl 6):S422–S434. doi: 10.1093/cid/ciz715

Table 4.

Case Definitions

Case Type Definition
Confirmed TF case Positive blood culture for Salmonella Typhi
Mild TF case Blood culture–confirmed TF without any complication of TF listed in Table 6
Severe TF casea Blood culture confirmed TF with any one complication(s) of TF listed in Table 6
Special caseb Pathognomonic gastrointestinal perforations (ie, clinically diagnosed TF gastrointestinal perforation), even in the absence of laboratory confirmation, in patients living in and outside the defined catchment area
Confirmed PF case Patients with a positive blood culture for Salmonella Paratyphi serovars
Confirmed iNTS disease case Patients with a positive blood culture for any nontyphoidal Salmonella serovar
Relapse Blood culture–confirmed case who becomes ill with a subsequent episode of TF/PF/iNTS disease within 90 days of the prime infection. (A relapse should be a discernably similar or identical infecting strain, for which further genomic analyses will be performed.)
Reinfection Blood culture–confirmed case who becomes ill with a subsequent episode of TF/PF/iNTS disease on or after a 90-day period after documentation of a previous blood culture–confirmed TF/PF/iNTS disease. (A reinfection should be a discernably different infecting strain, for which further genomic analyses will be performed.)
S. Typhi/S. Paratyphi/NTS carrier An individual shedding S. Typhi or S. Paratyphi or NTS in stool after symptom resolution.

Abbreviations: iNTS, invasive nontyphoidal Salmonella; NTS, nontyphoidal Salmonella; PF, paratyphoid fever; TF, typhoid fever.

aSevere typhoid: Refer to Table 6 for complications associated with TF.

bSpecial case: Refer to Table 3 for study inclusion criteria.