Question

A 41 year old female patient comes to the ED complaining of stomach pain and bloody stools. She is visiting from another city for work and thinks she has food poisoning. She has been ill and not eating or drinking for 48 hours. She says her urine output is very low. She reports her vaccines are up-to-date and provides shot records showing she is current on all adult vaccines. She is also complaining of lower back pain radiating to her sides.

Her vital signs:

Temp 40^oC
BP 125/95
Resp 25

Weight 50 Kg

A culture was done on the patient's stool sample and the following results were obtained:

No growth on PEA plate
Growth on MAC plate
Bacillus
Gamma hemolysis on BAP
+ Glucose fermentation
+ Lactose fermentation
- Sorbitol fermentation
+ Urease

what is her diagnosis, causative agent and treatment?

Answer 1

A patient is suffering with th.pylori infection. It is one of for H. pylori induced peptic uleer direase. Eating for work. felt that once she The major cause contaminated food, drinking uncleaned water are magos causes for H.pylori infection here the patient is visiting other city for she is not eating cool drinking anything since she felt t she is having food poisoning which leads to increased sa and secretion which provides favourable environment for tipulore growth. Due to severe pun due to hpylori infection she is experien ung bloody stools, stomach pain, pain andiating to back on both sides. H. pylori is a gram negative bacteria, ureace positive which can be best diagnosed with stod examination. Her stool enamination shows growth on mac plate, gamma hemolysis on Bap, glucose lactore fermentation & indicating to pylori organism. Treatment Proton pump For for & days; ly days relapse. first line intibiron (PPP) Plus Clarithromy un And metronidazole OR PPL plus clarithromycin And a moniullin PPI OR ranitidine bismuth Alternative itrate diegimens

its plus 2 antibiotics: own on Amoxiullin [ig Bo].. rod i rosa clarithromyug [soong BD) da metronidazole (400 mg BD] * Sinu it is not eating, drinking from part ! vine output is reduced. session boods cox mo wotwo Hot stop Sold eo lote roll colonialools the home 41 lei od id cong 32 b iel diotele