(1)
To define:
The foods that are most likely the source of the infections.
Case summary:
In the given summary, two female students and one male student sought treatment at the university health clinic in a single day. All complained of acute diarrhea, nausea, and vomiting without blood in the stools. One woman wasdiagnosed with urinary tract infection, but no blood was found in the stool. All three studentshad eaten lunch at a nearby health store,but they had different foods. The male studenthad a turkey sandwich with tomatoes, sprouts, pickles, and sunflower seeds. One woman ate a pocket sandwich with turkey, sprouts, and mandarin oranges. The other woman had a special lunch comprising fresh juice, tomatoes, and cucumbers with raspberry vinaigrette dressing.
(2)
To determine:
The media that is used to culture and isolate enteric contaminants in the food.
Case summary:
In the given summary, two female students and one male student sought treatment at the university health clinic in a single day. All complained of acute diarrhea, nausea, and vomiting without blood in the stools. One woman wasdiagnosed with urinary tract infection, but no blood was found in the stool. All three students hadeaten lunch at a nearby health store but they had different foods. The male studenthad a turkey sandwich with tomatoes, sprouts, pickles, and sunflower seeds. One woman ate a pocket sandwich with turkey, sprouts, and mandarin oranges. The other woman had a special lunch comprising fresh juice, tomatoes, and cucumbers with raspberry vinaigrette dressing.
(3)
To determine:
The enteric bacteria that caused these symptoms.
Case summary:
In the given summary, two female students and one male student sought treatment at the university health clinic in a single day. All complained of acute diarrhea, nausea, and vomiting without blood in the stools. One woman was diagnosed with urinary tract infection, but no blood was found in the stool. All three had eaten lunch at a nearby health store, but they had different foods. The male studenthad a turkey sandwich with tomatoes, sprouts, pickles, and sunflower seeds. One woman ate a pocket sandwich with turkey, sprouts, and mandarin oranges. The other woman had a special lunch comprising fresh juice, tomatoes, and cucumbers with raspberry vinaigrette dressing.
(4)
To determine:
How did the woman likely acquire the urinary tract infection.
Case summary:
In the given summary, two female students and one male student sought treatment at the university health clinic in a single day. All complained of acute diarrhea, nausea, and vomiting without blood in the stools. One woman was diagnosed with urinary tract infection, but no blood was found in the stool. All three had eaten lunch at a nearby health store, but they had different foods. The male studenthad a turkey sandwich with tomatoes, sprouts, pickles, and sunflower seeds. One woman ate a pocket sandwich with turkey, sprouts, and mandarin oranges. The other woman had a special lunch with fresh juice, tomatoes, and cucumbers with raspberry vinaigrette dressing.
(5)
To determine:
The treatment of choice.
Case summary:
In the given summary, two female students and one male student sought treatment at the university health clinic in one day. All complained of acute diarrhea, nausea, and vomiting without blood in the stools. One woman was diagnosed with urinary tract infection, but no blood was found in the stool. All three had eaten lunch at a nearby health store, but theyhad different foods. The male studenthad a turkey sandwich with tomatoes, sprouts, pickles, and sunflower seeds. One woman ate a pocket sandwich with turkey, sprouts, and mandarin oranges. The other woman had a special lunch comprising fresh juice, tomatoes, and cucumbers with raspberry vinaigrette dressing.
(6)
To determine:
The steps that must be takenby the food store’s manager and the students to reduce the chance of subsequent infections.
Case summary:
In the given summary, two female students and one male student sought treatment at the university health clinic in one day. All complained of acute diarrhea, nausea, and vomiting without blood in the stools. One woman was diagnosed with urinary tract infection, but no blood was found in the stool. All three had eaten lunch at a nearby health store, but they had different foods. The male studenthad a turkey sandwich with tomatoes, sprouts, pickles, and sunflower seeds. One woman ate a pocket sandwich with turkey, sprouts, and mandarin oranges. The other woman had a special lunch comprising fresh juice, tomatoes, and cucumbers with raspberry vinaigrette dressing.
Want to see the full answer?
Check out a sample textbook solutionChapter 23 Solutions
Microbiology: With Diseases By.. -Modern Access
- Alette, a 17-year-old Haitian woman, presented to a women’s clinic complaining of watery and foamy bowel movements 5 to 10 times a day. She had also experienced abdominal cramps and a low-grade fever. The physician ordered a stool sample for routine O&P as well as for culture and sensitivity tests. The culture and sensitivity tests were reported as negative for enteric pathogens. The laboratory technician performed a routine O&P examination, including a permanent trichrome stain. No parasites were observed. Two days later, a repeat O&P was ordered. The patient was now diagnosed as HIV-positive. The repeat sample was again examined for ova and parasites by routine laboratory procedures. This time, the technologist noted oval forms of the wet preps that were highly refractile and suggestive of fungal cells, but no budding was seen. The trichrome permanent stain did not confirm the laboratory technician’s suspicions. Not satisfied that the sample was negative, the laboratory…arrow_forwardAn outbreak of gastrointestinal illness was reported in a day carecenter. Of 67 people, 14 came down with symptoms of nausea,cramps, and diarrhea within 2 to 3 hours of eating. Food itemsincluded fried rice, peas, and apple rings. Symptoms occurred in 14of the 48 who had eaten the fried rice and in none of those who had not eaten it. The rice had been cooked the night before andrefrigerated. The next morning, it had been fried with leftoverchicken and held without refrigeration until lunchtime.a. On the basis of symptoms and food types, what do you expect theetiological agent to be? b. What would you expect to culture from the food?c. To what other disease is this one similar?arrow_forwardA small town’s pediatrician saw three children, ages 5, 7, and 10 years, who were ill with vomiting and diarrhea within 12 hours of each other. The child aged 5 years had become so sick that the pediatrician recommended her mother take her to the emergency department at the local hospital. The 5-year-old child initially complained of nausea around 10:00 a.m. The nausea was followed by vomiting and multiple episodes of diarrhea. The child was unable to eat or drink anything without vomiting. That afternoon, the child became listless, so the pediatrician sent the child to the emergency department where she was noted to be dehydrated and had a fever. Stool and blood specimens were collected, and the child was treated with intravenous fluids and released. The two neighborhood children had had similar symptoms (i.e., nausea, vomiting, diarrhea, and fever) but had not become as ill as the 5-year-old. Both had returned to school the day after becoming ill. The three children usually did not…arrow_forward
- Your patient has postinfectious glomerulonephritis, as its name implies, follows an acute infection somewhere else in the body. What is the most common cause of acute postinfectious glomerulonephritis?a. Escherichia colib. Staphylococcus aureusc. Pseudomonas aeruginosad. Streptococcus pyogenese. Bacillus cereusarrow_forwardA 45-year-old man had a 10-day history of appetite loss, flu-like symptoms, and nausea. He noticed that upon urination, his urine had been dark in color over the past 4 days.arrow_forwardTwo days ago, Charity, a 48-year-old journalist from Miami, returned to the United States from a 6-week trip to several countries for a story she is writing on recovery progress after major earthquakes. When she first came home, Charity began to experience diarrhea, which became worse as the day progressed. After the second day of severe diarrhea and the beginning of leg pain, Charity seeks care at a local outpatient health care facility. She reports no vomiting or fever, but has 10 watery stools per day without visible blood or mucus. Questions : What immediate treatment does Charity need? Name at least 5 organisms that may be causing the diarrhea. In a table, contrast the differences in the presentation of the diarrhea and the causative agents.arrow_forward
- You are a volunteer for Nurses Without Borders and are being sent to a country in Africa. You are excited, because you will have opportunities to go on safari, but you are also somewhat concerned because you have learned from the CDC website that there is currently cholera in the country to which you are going. Patients with cholera experience vomiting and severe diarrhea, producing several liters of liquid stool in a day. This results in signs of dehydration, including sunken eyes, muscle cramps, and in a few cases, convulsions and death. Cholera is caused by the bacterium Vibrio cholerae. You make a list of questions about V. cholerae that you answer with the help of your nursing school study group. In order to treat cholera, antiviral medication must be given to get rid of the bacteriophage that carries the cholera toxin gene. True or Falsearrow_forwardFood borne infections are associated with ingestion of pathogens or blankarrow_forwardPick one foodborne pathogen/illness and describe the organism that is associated with this foodborne pathogen/illness, sources, and diseases/symptoms.arrow_forward
- Which of the following is NOT true about the transmission of diseases of the digestive system? Which option is the answer: 1. Many are transmitted in food and/or water 2. The fecal-oral transmission cycle can be broken by proper food preparation and storage, and handwashing 3. The fecal-oral transmission cycle can be broken by proper sewage disposal and disinfection/filtration of drinking water 4. Some are transmitted from person to person directly or indirectly via the fecal-oral route 5. None of the other four answers (All are true)arrow_forwardSome bacteria, protozoa, and viruses that cause foodborne illness are: E.coli, Salmonella Norovirus Staphylococcus aureus Clostridium botulinum Campylobacter Clostridium perfringens Hepatitis A. Giardia (mainly water) Listeriosis Select two (2) of the foodborne illnesses listed above and report the following information for each. Disease name and whether it is a bacteria, protozoa, or virus Type of contamination (infection or intoxication) Infectious pathway Possible sources and foods affected Symptoms Incubation period Treatment Current Statistics, how many affected, where, when etc.arrow_forwardInfection with which of the following can be diagnosed byfinding its eggs in fecal specimens?(a) Rotavirus (d) Hepatitis A(b) Vibrio cholerae (e) Aspergillus niger(c) Helminthsarrow_forward
- Medical Terminology for Health Professions, Spira...Health & NutritionISBN:9781305634350Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. SchroederPublisher:Cengage LearningHealth Safety And Nutrition F/Young ChildHealth & NutritionISBN:9781305144767Author:MAROTZPublisher:Cengage