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Case Study 19: Foodborne Illness
Erin C. is a 27-year-old professional woman who describes a recent bout of “the 24-hour flu” she
experienced after eating out with friends over the weekend. She reports feeling an upset stomach
at work on Monday with an increase in symptoms that developed into severe abdominal cramps,
nausea, vomiting, and some bloody diarrhea, continuing into the evening. She called her doctor
the next morning and reported what she had eaten the day before she developed symptoms: 2
glasses of wine, broiled rare steak with mushroom sauce, baked potato with sour cream and
butter, and an assorted greens salad with oil and vinegar dressing from the salad bar where she
was dining with friends. Earlier on that same day, she had eaten leftovers from her refrigerator—
a small pork chop, spinach salad, and a glass of milk from a local organic dairy.
1. Based on information in Table 19-1, which of Erin’s symptoms would cause you to
suspect that she had a food-borne illness rather than the flu?
2. What foods that Erin ingested are frequent sources of food-borne illness?
3. Based on the information in this chapter, what questions would help you identify the
likely cause of Erin’s food-borne illness?
4. Besides calling her doctor for persistent symptoms, what dietary measures are important
for Erin’s recovery?
5. Knowing that she prefers to eat rare-cooked meat, what precautionary advice could you
offer Erin in reference to Figure 19-4?
6. Based on this experience, suggest one practical action from each of the four simple rules
outlined in the “How To” section on page 628 that may protect Erin from food-borne
illness in the future.
Erin C. is a 27-year-old professional woman who describes a recent bout of “the 24-hour flu” she
experienced after eating out with friends over the weekend. She reports feeling an upset stomach
at work on Monday with an increase in symptoms that developed into severe abdominal cramps,
nausea, vomiting, and some bloody diarrhea, continuing into the evening. She called her doctor
the next morning and reported what she had eaten the day before she developed symptoms: 2
glasses of wine, broiled rare steak with mushroom sauce, baked potato with sour cream and
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