A 4-year old girl presents at the emergency room with bloody

Last updated: 7/30/2022

A 4-year old girl presents at the emergency room with bloody diarrhea, fever and vomiting. The child's mother reports that the child has had these symptoms for about 24 hours and she has not passed any urine for about 12 hours. The child is enrolled in a day care center and the group had recently made a field trip to a fast food place to learn about different jobs. The children had a lunch of beef burger, fries and cola after meeting with different workers. This field trip was 4 days earlier on Friday. The child had a temperature of 39C and showed physical signs of dehydration. Blood samples drawn showed evidence of greatly reduced kidney function and lysed red blood cells. What is your diagnosis and the responsible organism? Bloody diarrhea caused by Salmonella Bloody diarrhea caused by Escherichia coli O157:H7 Botulism caused by Clostridium botulinum Food-borne listeriosis caused by Listeria Monocytogenes Food-borne intoxication with Campylobacter jejuni