A 38-year-old veterinarian presents with a 3-week history of fevers (38.9°C), night sweats, weight loss, and diffuse arthralgias. He recently returned from rural Greece where he consumed unpasteurized goat cheese and assisted with livestock deliveries. Vital signs show HR 102/min, BP 128/76 mmHg, RR 16/min. Examination reveals hepatosplenomegaly. Blood cultures remain negative. Which organism is most likely responsible for this clinical presentation?
- A)Francisella tularensis
- B)Coxiella burnetii
- C)Salmonella typhi
- D)Pasteurella multocida
- E)Brucella melitensisGABARITO
Explicação
Brucella melitensis is correct. Brucellosis causes undulating fever, arthralgias, and hepatosplenomegaly after exposure to infected livestock or unpasteurized dairy. The veterinary history and goat cheese exposure are classic epidemiologic clues. Ver explicação completa e trilha adaptativa →