Larry
Forum Newbie
Topics: 8
Posts: 21
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A 34Y/O female, abdominal cramps and diarrhea. Stool bloody and associated with urgency and noctunal bowel movements. T 38.4C. PE Mild periumbilical and LLQ tenderness. Which of the following agents is most likely cause?
1. Campylobacter jejuni
2. Toxigenic E-coli
The answer chooses 1. Why not Toxigenic E-coli? (bloody stool as well).
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| Idiopathic
Forum Guru
Topics: 19
Posts: 641
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I think its a mistake...
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| fried water
Forum Junior
Topics: 4
Posts: 57
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this is right.. the answer can not be ETEC.If the stool is bloody then it has to be some invasive organism and ETEC is not invasive. Following are invasive though:
-campylobacter
-Shigella
-Salmonella
-EIEC (entero invasive E. coli)
And also if there is no travel history then ETEC is less likely to be the answer... so without a travel history camylobacter is anyway very common than ETEC. And then never forget the 'BLOOD IN THE STOOLS'!!!
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| meg
Forum Guru
Topics: 62
Posts: 806
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fried water is right.
Thanks friedwater.
Meg
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