The Richards family attended their family reunion on Saturday afternoon at the park. On Monday morning, the father, two children, and grandmother present to the emergency department with abdominal cramps, diarrhea, and fever for the last 12 hours
By history, they all ate shrimp salad, egg salad, and homemade custard, and the children drank milkshakes. A stool specimen reveals which food-borne disease?
a. Shigella
b. Cholera
c. Campylobacter
d. Salmonella
D
Salmonella is found in many foods, such as shellfish, custard, milk, eggs, and salad dressing. Typically, symptoms appear within 12 to 72 hours after exposure. Shigella (response A) is secondary to contaminated water or poor hygiene in food handlers with symptoms in 12 to 96 hours. Cholera (response B) appears in a few hours to 5 days after consumption of raw or undercooked food from contaminated water. Campylobacter (response C) takes 2 to 7 days to manifest and is secondary to undercooked poultry, unpasteurized milk, and contaminated water.
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