Further testing reveals this is a strain of e. coli o157: h7. what virulence factor produced by this strain could cause the heart and lung damage observed in this case?

Virulence is the qualitative or quantitative assessment of pathogenically which measures the degree of the disease that is caused by pathogens.

Virulence factor which is produced by e. Coli 0157:h7and could cause the heart and lung damage include

(i)                  Capsular and flagella antigens

(ii)                Type 111 secretion systems

(iii)               Shiga-like toxins (SLTS)

(iv)              Endotoxin.

E. coli0157:h7 is not complicated most patients fully recover after about ten days and it is self-limiting. It can be spread through milk, cheese, yoghurt, tomatoes and soya beans.

If these are the missing choices: a. to determine skin temperature, place the back of your hand against the patient's skin.b. determine body temperature by touching the patient's hands and feet.c. skin temperature will tell you very little about this patient's condition or well-being.d. the patient's skin temperature and color will likely be warm and red.my answer is: a. to determine skin temperature, place the back of your hand against the patient's skin. using the back of the hand to check for temperature rather than the palm is more effective because the back of the hand has more nerves that can feel and transmit the temperature than the palm.