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A 10-Year-Old Boy Is Brought to the Emergency Department Due

question 1132

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A 10-year-old boy is brought to the emergency department due to sudden-onset nausea, abdominal cramps, and several episodes of vomiting over the last 2 hours.  He has not had diarrhea.  His mother notes that the patient's 6-year-old sister has similar symptoms.  The children ate barbecued chicken with potato salad at a community lunch 4 hours before the symptoms began.  They also swam in the community pool and played with a pet turtle.  The patient has a history of upper respiratory infections and received antibiotics a month ago for acute otitis media.  Temperature is 36.8 C (98.2 F) , blood pressure is 112/70 mm Hg, and pulse is 88/min.  Abdomen is soft and nontender.  Which of the following is the most likely cause of this patient's symptoms?

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