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Microbiology Bacteriology 21dace32

A patient of Acute lymphocytic leukaemia with fever and neutropenia develops diarrhoea after administration of amoxicillin therapy, which of the following organism is most likely to be the causative agent

A
Salmonella typhi
B
Clostridium difficile
C
Clostridium perfringens
D
Shigella flexneri
High-Yield Explanation
Clostridium difficile causes acute colitis with bloody diarrhea and pseudomembranous colitis. A common cause of nosocomial diarrhea. The disease follows the use of broad-spectrum antibiotics like clindamycin, ampicillin, amoxicillin, or fluoroquinolones to which it is resistant. Exotoxin A and B involved in the pathogenesis. An oppounistic organism that causes disease only when the normal mechanism is altered. Reference: Textbook of Microbiology; Anathanarayan and paniker's; 10th edition; Page no: 270

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