CASE #1. Samuel is a 29-year-old man from Haiti who has been suffering from fever, nausea, vomiting and diarrhea for two weeks. Upon physical examination at the hospital, he is found to have an elevated pulse rate and a lowered blood pressure. He is admitted and placed on an IV drip with antibiotics. Stool and blood cultures are collected that reveal a gram-negative rod, which grows on MacConkey agar as clear colonies (lactose negative). On Salmonella/Shigella plates it produces blacktop colonies. 1. What is the patient infected with? Explain what important factors led you to the diagnosis. 2. How is this bacterium spread? 3. The patient is a cook. What precautions or actions should be taken before he is allowed to return to work?

Microbiology for Surgical Technologists (MindTap Course List)
2nd Edition
ISBN:9781111306663
Author:Margaret Rodriguez, Paul Price
Publisher:Margaret Rodriguez, Paul Price
Chapter6: Microbial Viability And Growth
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CASE #1. Samuel is a 29-year-old man from Haiti who has been suffering from fever, nausea, vomiting and diarrhea for two weeks. Upon physical examination at the
hospital, he is found to have an elevated pulse rate and a lowered blood pressure. He is admitted and placed on an IV drip with antibiotics. Stool and blood cultures
are collected that reveal a gram-negative rod, which grows on MacConkey agar as clear colonies (lactose negative). On Salmonella/Shigella plates it produces blacktop
colonies.
1.
What is the patient infected with? Explain what important factors led you to the diagnosis.
2. How is this bacterium spread?
3. The patient is a cook. What precautions or actions should be taken before he is allowed to return to work?
Transcribed Image Text:CASE #1. Samuel is a 29-year-old man from Haiti who has been suffering from fever, nausea, vomiting and diarrhea for two weeks. Upon physical examination at the hospital, he is found to have an elevated pulse rate and a lowered blood pressure. He is admitted and placed on an IV drip with antibiotics. Stool and blood cultures are collected that reveal a gram-negative rod, which grows on MacConkey agar as clear colonies (lactose negative). On Salmonella/Shigella plates it produces blacktop colonies. 1. What is the patient infected with? Explain what important factors led you to the diagnosis. 2. How is this bacterium spread? 3. The patient is a cook. What precautions or actions should be taken before he is allowed to return to work?
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