Diarrhea in Seizure in this kid, what microorganism! - USMLE Forums
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  #1  
Old 08-03-2011
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Bacteria Diarrhea in Seizure in this kid, what microorganism!

An 18-month-old child presents to the emergency center having had a brief, generalized tonic-clonic seizure. He is now postictal and has a temperature of 40C (104F). During the lumbar puncture (which ultimately proves to be normal), he has a large, watery stool that has both blood and mucus in it. Which of the following is the most likely diagnosis in this patient?
a. Salmonella
b. Enterovirus
c. Rotavirus
d. Campylobacter
e. Shigella
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  #2  
Old 08-03-2011
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C) rotavirus ?!?!?!
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Old 08-03-2011
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Enterovirus? i am confused with rota virus too
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Old 08-03-2011
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shouldn't it be D. campylobacter, cause its the commonest cause of bloody diarrhea in US, more than salmonella and shigella put together???
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Old 08-03-2011
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Quote:
Originally Posted by examtaker View Post
shouldnt it be d. campylobacter, cause its the commonest cause of bloody diarrhea in US, more than salmonella and shigella put together???
Yea, i'm thinkin this too, either that or shigella.

Rotavirus isn't invasive so wouldn't have dysentry.

Salmonella most commonly presents with rose spots (dunno if thats pathognomic)



He's having febrile seizures (if anyone was wondering)
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Old 08-03-2011
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Blood & Mucus->enteroinvasion=>Shigella?My guess is E)
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Old 08-03-2011
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blood and mucus= Salmonella, Campylobacter and Shigella

High fever and seizure...Shigella
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Old 08-03-2011
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shigella ..i think i ve seen this q again,,,
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Old 08-03-2011
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Answer is E. Shigella...
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Old 08-04-2011
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ill go with shegilla too!! shigilla toxin!!
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  #11  
Old 08-04-2011
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i'll go with shigella
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Gastrointestinal-Tract-, Microbiology-, Nervous-System-, Pathology-

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