Pathology

A 12-year-old girl develops fever, abdominal pain, and bloody diarrhea 1 to 2 days after eating a hamburger at a fast food restaurant. Physical examination reveals an extensive purpuric skin rash. The patient develops oliguria, and laboratory studies show elevated serum levels of BUN and creatinine. Which of the following is the most likely etiologic agent responsible for this patient's condition?