 Welcome back to our meds smarter lecture series where we're taking a smarter approach to preparing future physician Before we get started if you'll take just a quick minute and click that like button and also Subscribe and turn the bell on so that you'll be notified when we post new videos Let's continue on with our discussion of gram positive organisms today. We're going to cover Bacillus serious Bacillus serious is a gram positive rod as you can see here in this picture These are colonies of Bacillus serious that have been grown on a sheep blood auger plate The main problem that Bacillus serious can cause is food poisoning and what happens here is that we have spores that can survive Cooking if the temperature of the food is not brought to the correct temperature So with this specific instance rice is one of the most common Locations to find Bacillus serious specifically in reheated rice What is happening is the cooking temperatures originally were not high enough Allowing some of these spores to survive during cooking and then if they are improperly refrigerated the endos spores can then germinate and Then with reheating not getting it back up to a proper temperature can allow those germinated spores to survive and to cause infection So the important thing here is to make sure that we keep rice warm above 50 degrees Celsius or At refrigerated temperatures below 10 degrees Celsius. There are two different types of Bacillus serious infections that we can have It's the emetic type and the diarrhea type the emetic type is what causes nausea and vomiting specifically And that's typically within one to five hours of ingestion of those spores This is caused by the serilide preform toxin The diarrhea type causes watery non-bloody diarrhea as well as GI pain and that typically on sets within 8 to 18 hours of ingestion the management for a Bacillus serious infection is just a supportive care. There's really no Other treatment that is is beneficial for Bacillus serious besides supportive care So trying to make sure your patient is comfortable that their fluid status is good and This is a self-limiting problem If you found this material helpful for your studying Please like and consider subscribing to the channel Also share this video so that more people can benefit from it like you have