A 29 year old man presents with 1 week of progressively worsening fever, malaise, abdominal discomfort, and constipation that later became diarrhea. He recently returned from South Asia where he drank untreated water. Examination shows rose colored macules on the abdomen and relative bradycardia. Which of the following is the most likely causal organism?
- A)Shigella dysenteriae
- B)Enterotoxigenic Escherichia coli
- C)Brucella melitensis
- D)Yersinia enterocolitica
- E)Salmonella typhiGABARITO
Explicação
Salmonella typhi is correct. Stepwise fever, abdominal symptoms, rose spots, and travel to an endemic region are classic for typhoid fever. The organism survives within macrophages and spreads systemically after ingestion of contaminated food or water. Ver explicação completa e trilha adaptativa →