1.salmonella Proteus associated gastroenteritis.
Salmonella is the only gram negative bacillus that produces H2S.
Mode of transmission:-
It transmit mainly through contaminated food and water.
But also can transmits through animals, birds, pets etc.
Patient with immune deficiency are most susceptible for this infection.
Signs and symptoms:-
This condition also called as stomach flu.
Bacteremia is the one of the complications of salmonella Gastroenteritis.
Bacteremia may be as follows
If salmonella infection enters your bloodstream (bacteremia), it can infect tissues throughout your body, including:
The tissues surrounding your brain and spinal cord (meningitis)
The lining of your heart or valves (endocarditis)
Your bones or bone marrow (osteomyelitis)
A The patient was a 32-year-old Haitian male referred to the hospital with a 3-week history...
The patient is a 4 year-old male who presented to the emergency room with a 2 hour history of vomiting, diarrhea, fever, irritability, and lethargy. The child had gone to sleep on the living room couch at 11 p.m. His grandmother found him on the floor at 3 a.m. covered with feces. When she picked him up to carry him to the bathtub, she noticed he was febrile. She bathed him, and brought him to the emergency room. The patient's...
The patient was an 80-year-old female who 10 days previously had had a cystocele repair performed. At the time of the hospital admission, a urine culture was obtained and revealed >100,000 CFU/ml of an Escherichia coli strain that was susceptible to all antimicrobial agents against which it was tested. Postoperatively, she began a 7-day course of oral cephalexin. She was discharged after an uneventful postoperative course of 3 days. Ten days postoperatively, she presented with a 3-day history of diarrhea....
Case Study #4 Application to Practice Scenario History Application to Practice Scenario A 13-year-old boy presented to the clinic complaining of a sore throat that persisted for 2 days. After those 2 days, he developed fever, nausea, and malaise. A throat culture revealed the presence of Group A beta hemolytic streptococci, and the child was started on antibiotic therapy. The child’s symptoms gradually improved, but approximately 2 weeks later, he returned to the clinic because the fever, nausea, and malaise...
Case 1 A 19-year-old male college student presents to the student health department with abdominal pain, diarrhea, and fever. He say that his symptoms started 1 day ago. He has had 10 stools in the past day and has noted blood mixed in with the stool on several occasions. He usually eats at home but reports having eaten chicken in the college cafeteria days ago. He has no history of gastrointestinal (GI) disease. On examination he has a temperature of...
The patient was an 80-year-old female who 10 days previously had had a cystocele repair performed. At the time of the hospital admission, a urine culture was obtained and revealed >100,000 CFU/ml of an Escherichia coli strain that was susceptible to all antimicrobial agents against which it was tested. Postoperatively, she began a 7-day course of oral cephalexin. She was discharged after an uneventful postoperative course of 3 days. Ten days postoperatively, she presented with a 3-day history of diarrhea....
Adam is a 68-year-old male admitted to the hospital with a 1-month history of nausea, vomiting, and diarrhea resulting in weight loss and fatigue. He presents tachycardic with abdominal pain, fever, and chills. Adam is a retired engineer and lives at home with his wife On hospital day (HD) 3, you visit Adam and learn that he has been NPO since admission due to his medical GI evaluation. Because Adam is feeling better and his GI symptoms have resolved, the...
A 24-year-old female was hospitalized with a three week history of fever, chills, night sweats and generalized abdominal and low back pain. One week prior to admission, she had had bitemporal headache, dark urine and watery diarrhea. Three days before, she had been examined in the emergency room of the hospital; her hematocrit was 32, and her WBC count was 4900 with atypical lymphocytes. On admission, she had tachycardia and a rectal temperature of 40.9 C; other physical findings included...
A 35-year old female was admitted to the hospital with a history of fever, headache, myalgia, rose spots on the abdomen, malaise and anorexia. These symptoms had appeared one week prior to admission. The patient’s admitting diagnosis was “fever of undetermined origin”. Blood cultures were drawn. The next day the blood cultures were growing a gram negative rod. The following biochemical tests were found: ONPG: Negative ADH: Negative Citrate: Negative Glucose: Fermentor LDC: Positive Voges-Proskauer: Negative H₂S: Weakly positive ODC:...
Ch. 20- Gastrointestinal Infections The patient is a 4-year-old male who presented to the emergency room with a 2 hour history of vomiting, diarrhea, fever, iritability, and lethargy. The child had gone to sleep on the living room couch at 23:00. His grandmother found him on the floor at 03:00 covered with feces. When she picked him up to carry hin to the bath tub, she noticed he was febrile (showing signs of fever). She bathed him, and brought him...
A 50 year old male patient presented to the emergency department at 2AM with vomiting and abdominal pain. He had a 2 week history of polyuria and polydipsia, accompanied by a 20 pound weight loss and blurred vision. His medical history was unremarkable, except for being treated with hypertension with lisinopril 40 mg daily, which provided good control. His blood pressure on admission was 135/80. He is a smoker and smokes ½ pack of cigarettes per day. Results of hospital...