A 31 year old aid worker in a refugee camp develops abrupt onset of profuse watery diarrhea and vomiting. He is dizzy, tachycardic, and has poor skin turgor, but he has no fever and no blood in the stool. Stool is described as pale and flecked with mucus. Which of the following is the most likely causal organism?
- A)Giardia lamblia
- B)Enterotoxigenic Escherichia coli
- C)Shigella dysenteriae
- D)Vibrio choleraeGABARITO
- E)Norovirus
Explicação
Vibrio cholerae is correct. Massive secretory diarrhea with severe dehydration and rice water stool is classic for cholera. The illness is toxin mediated rather than invasive, so stool is typically noninflammatory and afebrile. Ver explicação completa e trilha adaptativa →