Gram-negative bacilli of the Enterobacteriaciae family.
Humans are the reservoir fecal-oral transmission. Increased prevalence in developing countries.
Highest prevalence South Asia.
Fever in Returning Traveler
Endovascular infection including endocarditis and infected atherosclerotic plaque/aneurysm - "sticky" organism
Very high rates of FQ resistance in Indian sub-continent.
Vaccination only prevents ~75% of disease.
Chronic carriage associated with gallbladder disease.
Notify Medical Officer of Health (Reportable).