A 22-year-old male had an outing with his friends and developed fever of 38.5degC, abdominal pain, diarrhea and vomiting after eating chicken salad 24 h back. Two of his friends developed the same symptoms. The diagnosis is: FMGE 08
**Core Concept**
Food poisoning is a clinical syndrome caused by the ingestion of contaminated food or water, leading to gastrointestinal symptoms such as diarrhea, vomiting, and abdominal pain.
**Why the Correct Answer is Right**
The most likely cause of this outbreak is a bacterial infection, specifically *Campylobacter jejuni*, which is commonly associated with the consumption of undercooked or contaminated poultry products like chicken salad. *Campylobacter jejuni* is a gram-negative, microaerophilic bacterium that can cause gastroenteritis in humans. The symptoms presented by the patients, including fever, abdominal pain, diarrhea, and vomiting, are consistent with a bacterial food poisoning.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option might be trying to lead the student away from a bacterial cause, but it is not a correct answer. While viral gastroenteritis can also cause similar symptoms, the context of the question suggests a bacterial cause.
* **Option B:** This option might be trying to point towards Staphylococcus aureus, but it is not the correct answer. *Staphylococcus aureus* is a common cause of food poisoning, but it is more commonly associated with improperly stored or handled dairy products, meat, and poultry.
* **Option C:** This option might be trying to point towards Vibrio cholerae, but it is not the correct answer. *Vibrio cholerae* is a gram-negative bacterium that causes cholera, a disease characterized by severe diarrhea and dehydration. However, the symptoms presented by the patients do not suggest cholera.
* **Option D:** This option might be trying to point towards Salmonella, but it is not the correct answer. *Salmonella* is a common cause of food poisoning, but it is more commonly associated with improperly cooked or handled eggs, poultry, and dairy products.
**Clinical Pearl / High-Yield Fact**
Food poisoning can be prevented by proper food handling and storage, including cooking food to the recommended internal temperature, storing perishable foods at the correct temperature, and washing hands and utensils frequently.
**Correct Answer: C. Salmonella**