Case study #2 Doctor enter his examination room to find a Rob, a

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Case study #2 Doctor enter his examination room to find a Rob, a...

 

Case study #2

Doctor enter his examination room to find a Rob, a boisterous 2-year old playing with a truck while his pregnant mother, Shelly watches him from the examination table. Shelly has not been feeling well for the last week, she attributes her pregnancy to her not feeling well. However, she has begun having chills, muscle aches, fever, headaches and sore throat. As this is early summer, you do not suspect influenza. Upon examination she has a low grade fever and her cervix has started to dilate even though she is only 28-weeks pregnant. In questioning Shelly, Doctor learned that her husband and co-workers are all healthy; however, Rob complained of mild nausea, diarrhea and low grade fever a week ago after he and his mother visited a dairy farm with his play group. Shelly and the kids ate picnic lunches of peanut butter sandwiches, chips, cookies, and milk. The milk was fresh from the cow and little Rob had been asked to help milk the cow! Shelly and Rob shared a snack of fresh, soft cheese that they purchased from the dairy and crackers. Shelly had been careful to keep the cheese on ice until they ate their snack. That night Shelly was beat, so she and the family ate at the local pizzeria for dinner. Rob awoke during the night with the symptoms, which lasted approximately 2 days, though Shelly and her husband felt fine. None of the other children were sick the next day.

 

1.    What is the likely etiologic agent?

2.    What food is likely to be associated with their illness?

3.    Did you discount any of the foods as the carrier? If so why?

4.    In public interest, specify your recommendations to avoid foodborne illness in each case study.