Disclaimer: Early release articles are not considered as final versions. Any changes will be reflected in the online version in the month the article is officially released.
Volume 31, Number 7—July 2025
Dispatch
Outbreak of Ceftriaxone-Resistant Salmonella enterica Serovar Typhi, Bangladesh, 2024
Figure 2

Figure 2. Annotated map of plasmid pCROB1 from study of an outbreak of ceftriaxone-resistant Salmonella enterica serovar Typhi, Bangladesh, 2024. pCROB1 harbors the blaCTX-M-15 gene and includes an intact phage element, as annotated using PHASTEST (12). Tracks around the plasmid map highlight GC content and predicted ORFs. GC, guanine and cytosine nucleotides; OFR, open reading frame.
References
- Stanaway JD, Reiner RC, Blacker BF, Goldberg EM, Khalil IA, Troeger CE, et al.; GBD 2017 Typhoid and Paratyphoid Collaborators. The global burden of typhoid and paratyphoid fevers: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Infect Dis. 2019;19:369–81. DOIPubMedGoogle Scholar
- Hooda Y, Tanmoy AM, Sajib MSI, Saha S. Mass azithromycin administration: considerations in an increasingly resistant world. BMJ Glob Health. 2020;5:
e002446 . DOIPubMedGoogle Scholar - Klemm EJ, Shakoor S, Page AJ, Qamar FN, Judge K, Saeed DK, et al. Emergence of an extensively drug-resistant Salmonella enterica serovar Typhi clone harboring a promiscuous plasmid encoding resistance to fluoroquinolones and third-generation cephalosporins. MBio. 2018;9:e00105–18. DOIPubMedGoogle Scholar
- Djeghout B, Saha S, Sajib MSI, Tanmoy AM, Islam M, Kay GL, et al. Ceftriaxone-resistant Salmonella Typhi carries an IncI1-ST31 plasmid encoding CTX-M-15. J Med Microbiol. 2018;67:620–7. DOIPubMedGoogle Scholar
- Argimón S, Nagaraj G, Shamanna V, Sravani D, Vasanth AK, Prasanna A, et al. Circulation of third-generation cephalosporin resistant Salmonella Typhi in Mumbai, India. Clin Infect Dis. 2022;74:2234–7. DOIPubMedGoogle Scholar
- Godbole G, McCann N, Jones SM, Dallman TJ, Brown M. Ceftriaxone-resistant Salmonella Typhi in a traveller returning from a mass gathering in Iraq. Lancet Infect Dis. 2019;19:467. DOIPubMedGoogle Scholar
- Saha S, Islam M, Uddin MJ, Saha S, Das RC, Baqui AH, et al. Integration of enteric fever surveillance into the WHO-coordinated Invasive Bacterial-Vaccine Preventable Diseases (IB-VPD) platform: A low cost approach to track an increasingly important disease. PLoS Negl Trop Dis. 2017;11:
e0005999 . DOIPubMedGoogle Scholar - Tanmoy AM, Hooda Y, Sajib MSI, Rahman H, Sarkar A, Das D, et al. Trends in antimicrobial resistance amongst Salmonella Typhi in Bangladesh: A 24-year retrospective observational study (1999-2022). PLoS Negl Trop Dis. 2024;18:
e0012558 . DOIPubMedGoogle Scholar - Wick RR, Judd LM, Gorrie CL, Holt KE. Unicycler: Resolving bacterial genome assemblies from short and long sequencing reads. PLOS Comput Biol. 2017;13:
e1005595 . DOIPubMedGoogle Scholar - Tanmoy AM, Hooda Y, Sajib MSI, da Silva KE, Iqbal J, Qamar FN, et al. Paratype: a genotyping tool for Salmonella Paratyphi A reveals its global genomic diversity. Nat Commun. 2022;13:7912. DOIPubMedGoogle Scholar
- Antipov D, Hartwick N, Shen M, Raiko M, Lapidus A, Pevzner PA. plasmidSPAdes: assembling plasmids from whole genome sequencing data. Bioinformatics. 2016;32:3380–7. DOIPubMedGoogle Scholar
- Wishart DS, Han S, Saha S, Oler E, Peters H, Grant JR, et al. PHASTEST: faster than PHASTER, better than PHAST. Nucleic Acids Res. 2023;51(W1):W443–50. DOIPubMedGoogle Scholar
- Carey ME, Dyson ZA, Ingle DJ, Amir A, Aworh MK, Chattaway MA, et al.; Global Typhoid Genomics Consortium Group Authorship. Global diversity and antimicrobial resistance of typhoid fever pathogens: Insights from a meta-analysis of 13,000 Salmonella Typhi genomes. eLife. 2023;12:
e85867 . DOIPubMedGoogle Scholar - Argimón S, David S, Underwood A, Abrudan M, Wheeler NE, Kekre M, et al.; NIHR Global Health Research Unit on Genomic Surveillance of Antimicrobial Resistance. Rapid genomic characterization and global surveillance of Klebsiella using Pathogenwatch. Clin Infect Dis. 2021;73(Suppl_4):S325–35. DOIPubMedGoogle Scholar
Page created: June 02, 2025
Page updated: June 20, 2025
Page reviewed: June 20, 2025
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.