A 24 years-old man college going student presented with the acute onset of fever, chills and crampy abdominal pain 36 hrs, after eating a chicken sandwich. He denied homosexual activities, illicit drug use, recent travels, or exposure to pets.
Physical Examination: Temperature 101.20 , pulse 10, respiration rate 18, blood pressure 120/80 mm Hg sitting, 100/60 standing. General: mildly ill appearing. Skin: no petechiae or rash. Abdomen: active bowel sounds, mild diffuse tenderness without rebound. Rectal: stool positive for acute blood.
Laboratory Findings: Routine laboratory studies normal. Stool wet mount: blood, numerous PMNs.
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