It has recently been found that bosonic excitations of ordered media, such as phonons or spinons, can exhibit topologically nontrivial band structures. Of particular interest are magnon and triplon excitations in quantum magnets, as they can easily be manipulated by an applied field. Here we study triplon excitations in an S=1/2 quantum spin ladder and show that they exhibit nontrivial topology, even in the quantum-disordered paramagnetic phase. Our analysis reveals that the paramagnetic phase actually consists of two separate regions with topologically distinct triplon excitations. We demonstrate that the topological transition between these two regions can be tuned by an external magnetic field. The winding number that characterizes the topology of the triplons is derived and evaluated. By the bulk-boundary correspondence, we find that the non-zero winding number implies the presence of localized triplon end states. Experimental signatures and possible physical realizations of the topological paramagnetic phase are discussed.
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