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Urinary Enteric Carriers in Egypt: Incidence in 76 Cases and Observations on the Urinary Carrier State¹

1. The incidence and follow-up data of the temporary urinary carrier state resulting in a series of 76 acute typhoid and paratyphoid fever cases in Egypt is presented.

2. Similar note is made on 5 additional non-acute paratyphoid urinary carriers who were discovered.

3. Observations on the numbers of organisms excreted in the urine and the effect of sodium bicarbonate on numbers of organisms excreted is given.

4. The relative ineffectiveness of combined therapy with streptomycin and sulfadiazine in several paratyphoid urinary carriers is noted.

5. The apparent high incidence of urinary enteric carriers in Egypt is emphasized and the possible etiologic association between urinary carriers and urinary schistosomiasis is suggested.

¹ From the United States Naval Medical Research Unit No. 3, Cairo, Egypt.

The opinions contained herein are the private ones of the writer and are not to be construed as official or reflecting the views of the Navy Department or the naval service at large.

² Lt. jg, MCR, USNR. Present address: c/o Dr. Maxwell Finland and II and IV Harvard Medical Services, Boston City Hospital, Boston 18, Massachusetts.

The technical assistance of James D. Gillmore, HMC, USN, and the help of HMC's Del Thrasher and Lloyd Watts, USN, in routine bacteriological studies is gratefully acknowledged.