Apapa Resulting from Exposure to a

We present the first documented human case of Salmonella enterica serovar Apapa infection, isolated concurrently from a hospital inpatient and a pet lizard. The isolates were identical by biochemical profiling and pulsed-field gel electrophoresis. This rare serotype is known to be associated with reptiles. The current practice for avoiding reptile-associated infections is reviewed. CASE REPORT A 67-year-old Caucasian female presented with a 1-day his-tory of sudden-onset left iliac fossa pain associated with nau-sea, vomiting, and a productive cough. Her extensive past med-ical history included primary biliary cirrhosis, esophageal varices, small intestinal mucosa-associated lymphoid tissue lymphoma, a benign ovarian cyst, and osteoporosis. On exam-ination, she was unwell, with a fever (37.8°C), tachycardia (heart rate, 110), and hypotension (70/40 mmHg). She had signs of peritonism in the left iliac fossa and respiratory signs consistent with right mid-zone consolidation. The differentia