Classifying foodborne events: Which listed condition is a food infection (requiring ingestion of viable organisms that then multiply in the host)?
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ASalmonellosis
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BBotulism
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CStaphylococcal intoxication
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DNone of these
Answer
Correct Answer: Salmonellosis
Explanation
Introduction / Context:Foodborne diseases are broadly divided into infections (organisms grow in the host) and intoxications (preformed toxins ingested). Distinguishing them guides outbreak investigation and prevention.
Given Data / Assumptions:
- Botulism and staphylococcal events are known intoxications.
- Salmonellosis typically involves invasion and inflammation.
Concept / Approach:Food infection requires viable pathogens surviving gastric barriers, colonizing, and eliciting disease in the intestine or beyond. Salmonella meets these criteria in typical non-typhoidal salmonellosis.
Step-by-Step Solution:List each condition by mechanism: Salmonella = infection; botulism/staph = intoxication.Select the infection: Salmonellosis.
Verification / Alternative check:Incubation periods differ: infections often take longer than intoxications, supporting mechanistic classification.
Why Other Options Are Wrong:
- Botulism: neurotoxin preformed in food.
- Staphylococcal intoxication: preformed enterotoxin in food.
- None: incorrect because one is clearly an infection.
Common Pitfalls:Equating vomiting-dominant symptoms with intoxication in all cases; some infections also cause vomiting but mechanisms differ.
Final Answer:Salmonellosis