A 39 year old refugee presents with high fever, severe headache, and a maculopapular rash that began on the trunk and spread outward. He has been living in crowded conditions with poor sanitation, and lice are noted in his clothing. Which of the following is the most likely causal organism?
- A)Bartonella quintana
- B)Anaplasma phagocytophilum
- C)Rickettsia rickettsii
- D)Rickettsia prowazekiiGABARITO
- E)Ehrlichia chaffeensis
Explicação
Rickettsia prowazekii is correct. Epidemic typhus is transmitted by body lice and causes severe febrile illness with a centripetal trunk based rash in settings of crowding and poor sanitation. The louse exposure is the decisive clue. Ver explicação completa e trilha adaptativa →