Bugs and Drugs: Be Cereus
Medgeeks with Andrew Reid
Medgeeks
4.8 • 996 Ratings
🗓️ 12 February 2024
⏱️ 10 minutes
🧾️ Download transcript
Summary
In this week's episode of Bugs and Drugs, we will dive into two worlds of food borne bacteria. One can be found in reheated rice, known as Bacillus cereus. The other is found in raw or undercooked pork, known as Yersinia enterocolitica.
B. cereus can present with vomiting syndrome or diarrheal syndrome. You won't need to do any testing unless there is an outbreak and antibiotics are not needed. Your patient will need some IV fluids and letting the bacteria go through their system.
Patients that come in with Yersinia enterocolitica, will present with diarrhea and abdominal pain.
In some cases, your patient can experience reactive arthritis and erythema nodosum, affecting joints and skin. Once you confirm with a stool and blood test, antibiotics are recommended along with IV fluids.
Join Dr. Niket Sonpal, survivor of contaminated PB&J, in Bugs and…IV fluids.
February 12, 2024
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Transcript
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| 0:00.0 | Every few years social media does its job of recycling certain topics that cause people a great deal of distress |
| 0:06.5 | And in turn will cause your patients to freak out. It's usually around food-born illnesses |
| 0:12.0 | Things that might freak them out and make them |
| 0:14.1 | wonder, is it safe to eat anything? |
| 0:16.3 | Since we're doing the Bugs and Drugs series, I thought I would go about talking about |
| 0:19.8 | something that's new on social media, but not new for any of us in health care. |
| 0:24.2 | It's what patients like to call Reheated Rice Syndrome or as we know it |
| 0:29.1 | Basile Serious. That's right, be serious, the term that we use all through basic science |
| 0:35.1 | training is a funny little term and a funny little name for an organism that |
| 0:39.2 | could cause a great deal of gastrantaritis. In addition to that, there's your cinea. Now when I say the words |
| 0:45.0 | your cinea, all of you start thinking about the bubonic plague in your cinea pestis. |
| 0:49.6 | But it turns out it's got a cousin known as Yersinia Enter Kolitica, which can also cause a great |
| 0:55.4 | deal of issues and it's associated with uncooked pork. |
| 0:58.8 | So this week I figured let's cover a couple of miscellaneous topics like Be Serious and Yersinia Entercolitica and a couple of miscellaneous topics like be serious and your sinia interclitica and a couple of |
| 1:05.0 | little topics that you might see on your patients coming in saying hey I saw this on |
| 1:09.6 | Tik-Tok I saw this on social media and do I need to worry. |
| 1:13.0 | So I'm Dr. Nakeet-Son-Paul, your friendly neighborhood internist and |
| 1:15.9 | gastrantroologist and welcome to the Bugs and Drug Series. Let's kick it off. So why is it that B- Serious gets this sort of association with re-heated rice? |
| 1:36.0 | Well, the reason why is that it can actually survive at extreme temperatures and form biofilms and spores. |
| 1:43.0 | Now, be serious is actually in a wide range of foods. |
| 1:45.8 | We found that in rice, dairy products, different spices from different parts of the world, |
| 1:50.8 | bean sprouts, and even some vegetables. |
... |
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