Clozapine
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A 27-year-old woman is admitted to the hospital because of fever, with increasing anorexia, headache, weakness, and altered mental status of 2 days' duration. She works for an airline as a cabin attendant, flying between the Indian subcontinent and other places in Southeast Asia and the West Coast of the USA. Ten days prior to admission she had a diarrheal illness that lasted for about 36 hours. She has been constipated for the last 3 days. Her temperature is 39 °C, heart rate 68/min, blood pressure 120/80 mm Hg, and respirations 18/min. She knows who she is and where she is but does not know the date. She is picking at the bedclothes. Rose spots are seen on the trunk. The remainder of the physical examination is normal. Blood cultures are done and an intravenous line is placed.
Blood cultures from the patient grow a non-lactose-fermenting gram-negative bacillus. Which of the following is likely to be a constituent of this organism?
(A) O antigen 157, H antigen 7 (O157:H7)
(B) Vi antigen (capsule; virulence antigen)
(C) O antigen 139 (O139)
(D) Urease
(E) K1 (capsular type 1)
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| Ancylostoma
Forum Guru
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B . Rosespots + nonlactose fermenting gram negative rod = Salmonella Typhi,
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| Clozapine
Forum Elite
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 perfect... check the other one, I added another hint ...
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| lq2006
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(B) Vi antigen (capsule; virulence antigen)
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| SmokyWaters
Forum Elite
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typical picture of salmonella typhi...
TSI wud show slight blackish appearance with acid butt n alkaline slant...
colorles colonies on mac conkey's
Vi ... has phases... 1n 2 ...
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| SmokyWaters
Forum Elite
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B
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| SmokyWaters
Forum Elite
Topics: 6
Posts: 458
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rose spots due to the endothelial inflamation
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