A 57 year old man with cirrhosis presents with fever, vomiting, and rapidly progressive painful swelling of the right leg after eating raw oysters the previous evening. Examination shows hemorrhagic bullae on the affected leg. Blood cultures grow a curved gram negative rod. Which of the following organisms is the most likely cause of this patient’s illness?
- A)Yersinia enterocolitica
- B)Vibrio vulnificusGABARITO
- C)Aeromonas hydrophila
- D)Vibrio cholerae
- E)Campylobacter jejuni
Explicação
Vibrio vulnificus is correct. This curved gram negative marine organism causes fulminant sepsis and hemorrhagic skin lesions after raw oyster ingestion, particularly in patients with chronic liver disease or iron overload. The cirrhosis history is a major boar... Ver explicação completa e trilha adaptativa →