A previously healthy 28-year-old woman teacher comes to the emergency department because of diarrhea and abdominal cramps since the previous evening. She has had around 3-4 episodes of watery stools. She feels nauseated and has vomited twice. Six healthy children age 10-11 and two teachers in her school also developed acute vomiting and diarrhea within a 2-day period. . She has been on a vegan diet for 6 months. She takes no medications and has not traveled anywhere recently. Her temperature is 36.8°C (98.2°F), pulse is 73/min, and blood pressure is 110/70 mm Hg. Examination shows dry mucous membranes. Abdominal examination is unremarkable. Which of the following is the most likely causal organism?

Question

A previously healthy 28-year-old woman teacher comes to the emergency department because of diarrhea and abdominal cramps since the previous evening. She has had around 3-4 episodes of watery stools. She feels nauseated and has vomited twice. Six healthy children age 10-11 and two teachers in her school also developed acute vomiting and diarrhea within a 2-day period. . She has been on a vegan diet for 6 months. She takes no medications and has not traveled anywhere recently. Her temperature is 36.8°C (98.2°F), pulse is 73/min, and blood pressure is 110/70 mm Hg. Examination shows dry mucous membranes. Abdominal examination is unremarkable. Which of the following is the most likely causal organism?

Quizplus · Accepted Answer

Eductional Objective: Norovirus is the most common cause of viral gastroenteritis.  Outbreaks in crowded settings (eg, schools, cruise ships, nursing homes) are common, and symptoms include vomiting and watery diarrhea.

A Previously Healthy 28-Year-Old Woman Teacher Comes to the Emergency