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Bacteriology

Salmonella, Shigella and Yersinia

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SAMPLE QUESTION

A healthy 24-year-old develops fever, cramping and diarrhea after cleaning the enclosure of a pet turtle. Stool culture grows motile gram-negative rods that do not ferment lactose and produce hydrogen sulfide. A mucosal specimen shows neutrophil recruitment near intestinal lymphoid tissue.

Which event most directly connects the exposure to the intestinal inflammation?