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An outbreak of food poisoning occurred, affecting half the members of fve farWie

ID: 136082 • Letter: A

Question

An outbreak of food poisoning occurred, affecting half the members of fve farWies who se t restaurant in San Francisco at 3p.m. on June On June 20th, a woman was admitted to a hospital with "chilliness and watery diarrhea. The next morning, she complained of limb numbness and difficulty swallowing and breathing. Examination was unremarkable except for slight weakness of the 20 nausea, abdomnal cramps up per extremities and diminished deep tendon reflexes. Laboratory analysis yielded no viral or bacterial infection An investigation was started to trace her contacts. During the investigation, it became apparent that the symptoms were due to a meal shared by 32 persons on June 20h, Rice was purchased rom a produce market in a 50 Kg bag. The rice was boiled in the morning of the dinner and kept warm in foil-covered pots. Chicken was purchased from a supermarket, boiled and pan- fried. Whole, unguttered jackfish were purchased from a seaman who caught the fish at Midway Island. The fish were gutted and cut into steaks, which were deep-fried and served in vinegar/herd sauce. The fish heads and viscera were boiled with vegetables for 25 minutes to make chowder (escabeche). Hints Make a summary of the persons ill. Make a table of the onset of the symptoms following eating, a. b. Questions a. Identify the etiologic agent of this outbreak of food poisoning. Explain or justify your b. c. d. answer. Was it food infection or intoxication? How did the food get contaminated, and what item was contaminated? Briefly explain how you arrived at your conclusion. How did you eliminate the other major causes of food poisoning?

Explanation / Answer

Answer a

Salmonella

Because salmonella is a rod shaped gram negative bacteria which is commonly caused by

contaminated food or water

Answer b

Infection

Because this is caused by bacteria named salmonella and with intoxication the organism is eaten and destroyed by stomach acid and gastric juice and toxins are released by the bacteria.

Answer c

Food get contamined by :-

Item was contaminated is Eggs

Answer d

correlated the people who ate the eggs had the symptoms

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