A 34-year-old woman with a history of recent abortion presents with fever, chills, and abdominal pain. Blood cultures grow a gram-negative coccobacillus that requires special media and is a fastidious organism. Further testing shows the organism requires both factor X (hemin) and factor V (NAD). Which diagnosis is most likely?
- A)Neisseria gonorrhoeae disseminated infection
- B)Legionella pneumophila bacteremia
- C)Escherichia coli urosepsis
- D)Vibrio vulnificus wound infection
- E)Haemophilus influenzae sepsisGABARITO
Explicação
Haemophilus influenzae is a gram-negative coccobacillus requiring both factor X (hemin) and factor V (NAD) for growth—the defining characteristic. Post-abortion sepsis can result from H. influenzae infection ascending through the reproductive tract. Ver explicação completa e trilha adaptativa →