A 64-year-old woman experienced acute onset of severe abdominal cramps. After a few hours, she developed watery diarrhea

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A 64-year-old woman experienced acute onset of severeabdominal cramps. After a few hours, she developed watery diarrheaoccurring every 15 to 30 minutes, initially with small amounts ofvisible blood. Diarrhea subsequently became markedly bloody. Shehad nausea, but was not vomiting. She visited the nearbyhospital emergency department for evaluation. Recent food intakehistory showed consumption of a hamburger at a backyard BBQ twodays earlier. The patient recalled that the meat inside the burgerwas pink. She said her teenage grandson ate at the BBQ alsoand had the same illness but with milder symptoms. A Gram-negativerod that that was oxidase negative, lactose positive, and produceda potent cytotoxin was isolated from a stool sample. Which ofthe following is a possible complication of thisinfection?
a.
Hemolytic uremic syndrome
b.
Arthritis
c.
Waterhouse-Friderichsen syndrome
d.
Rheumatic fever
e.
Guillain-Barré syndrome
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