USMLE (Fach) / Microbiology (Lektion)
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Bacillus cereus
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- Gram ⊕ rod. Spores are heat-stable.- Grows in heated food that cools down too slowly or is improperly refrigerated (also known as reheated rice syndrome).- Keeping rice warm results in germination of spores and enterotoxin formation.
- Causes food poisoning.
- Emetic type usually seen with rice and pasta. Nausea and vomiting within 1-5 hours.- Caused by cereulide, a preformed toxin.- Diarrheal type causes watery, nonbloody diarrhea and GI pain within 8-18 hours.
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