Severe diarrhea following a course of clindamycin


Question Number 1166
Question:
A 58 year old developed severe diarrhea following a course of clindamycin. He was treated with metronidazole but he developed cardiac arrest and passed away the next day.
An autopsy was performed and a revealed a grey inflammatory membrane covering the mucosa of the bowel.

The likely causative organism
a) produces a toxin that inhibits cellular protein synthesis
b) is Group A Shigella dysenteriae
c) is a bacteria that has a single circular chromosome
d) is a bacteria that has multiple pili on its cell wall
e) is an organism that releases diphtheria toxin


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