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10716 Microbiology

A 32-year-old woman goes to an emergency depament because she has developed severe, watery diarrhea. About 36 hours later, she developed vomiting and an abrupt, painless, watery diarrhea. The volume of diarrhea has been copious, and she has subsequently developed intense thirst, oliguria, muscle cramps, and weakness. At the time of being seen in the emergency depament, she is noted to have marked loss of tissue turgor, sunken eyes, and wrinkling of the skin of her fingers. Laboratory studies demonstrate hemoconcentration and severe metabolic acidosis with potassium depletion. An organism cultured from the patient’s stool is subsequently characterized as an oxidase-positive, gram-negative curved rod with polar flagella that shows “shooting star” mobility and grows best on TCBS medium. Which of the following is the most likely pathogen?

APseudomonas
BSalmonella
CShigella
DVibrio cholerae
Microbiology
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