A 14 year old boy is brought to the emergency department with fever, diarrhea, and right lower quadrant abdominal pain. His parents are worried about appendicitis. He recently attended a family gathering where he ate undercooked pork. CT scan shows mesenteric adenitis rather than appendiceal inflammation. Which of the following is the most likely causal organism?
- A)Salmonella typhi
- B)Campylobacter jejuni
- C)Shigella dysenteriae
- D)Giardia lamblia
- E)Yersinia enterocoliticaGABARITO
Explicação
Yersinia enterocolitica is correct. This organism is linked to pork exposure and can produce terminal ileitis and mesenteric adenitis that mimic appendicitis. The right lower quadrant pain with diarrheal illness is the classic discriminator. Ver explicação completa e trilha adaptativa →