microbiology an evolving science test bank Related

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A patient with abdominal pain and diarrhea had a stool culture revealing non-lactose-fermenting, Gram-negative rods. What is the most likely causative agent?

  • A. Shigella dysenteriae
  • B. Salmonella typhi
  • C. Escherichia coli
  • D. Proteus vulgaris
Correct Answer: A

Rationale: The correct answer is A: Shigella dysenteriae. Shigella causes dysentery, characterized by bloody diarrhea and abdominal pain. Shigella is a non-lactose-fermenting, Gram-negative rod.
B: Salmonella typhi causes typhoid fever, not typically associated with abdominal pain and diarrhea.
C: Escherichia coli, a common gut bacteria, can cause diarrhea but typically ferments lactose.
D: Proteus vulgaris is not a common cause of gastrointestinal infection and is not typically associated with abdominal pain and diarrhea.