A 4 year old boy from a crowded daycare center is brought in with fever, abdominal pain, and frequent small volume stools mixed with blood and mucus. His mother says he had a generalized seizure earlier in the day. Stool microscopy shows numerous neutrophils. Which of the following is the most likely causal organism?
- A)Enterohemorrhagic Escherichia coli
- B)Shigella dysenteriaeGABARITO
- C)Vibrio cholerae
- D)Yersinia enterocolitica
- E)Salmonella typhi
Explicação
Shigella dysenteriae is correct. Shigella causes an inflammatory dysentery picture with fever, blood, mucus, fecal leukocytes, and very low infectious dose, making daycare outbreaks common. Neurologic complications including seizures can occur in children. Ver explicação completa e trilha adaptativa →