A 12 year old boy is brought to the clinic in July because of fever, severe headache, and myalgias after a camping trip in North Carolina. On examination he has a blanching rash on the wrists and ankles that has spread centrally to involve the palms and soles. Which of the following is the most likely causative organism?
- A)Treponema pallidum
- B)Coxiella burnetii
- C)Borrelia burgdorferi
- D)Ehrlichia chaffeensis
- E)Rickettsia rickettsiiGABARITO
Explicação
Rickettsia rickettsii is correct. Rocky Mountain spotted fever presents with fever, headache, and a rash that begins on the wrists and ankles and spreads centrally, classically involving the palms and soles. The organism infects endothelial cells and causes va... Ver explicação completa e trilha adaptativa →