he patient, a 16 year old female was well until 2 days prior to admission when she had a fever to 39.9"C and vomiting. On the morning of admission, she had loose stools, continued fever, and vomiting. She was seen by her local pediatrician who noted that she was hypotensive (BP 76/48 mmHg) with a heart rate of 120 beats/min and a temperature of 38"C. She had an erythematous rash, which was most prominent on her trunk. Cultures were obtained. The patient was given intravenous fluids and IV antibiotics and transported to the hospital, where she was admitted into the Pediatric Intensive Care Unit. The patient had begun her menstrual period 4 days before she became ill. Laboratory studies indicated a WBC count of 24.10/uL (Reference range: 4-11/uL) with 78% neutrophils (Reference range: 50-70%) Lymphocyte count is normal and platelet count of 250/uL (Reference range: 150-450/uL) What organism do you think is the causative agent of her infection? * What are the organs that are possibly affected during the course of infection in this patient as judged from the clinical story? *
he patient, a 16 year old female was well until 2 days prior to admission when she had a fever to 39.9"C and vomiting. On the morning of admission, she had loose stools, continued fever, and vomiting. She was seen by her local pediatrician who noted that she was hypotensive (BP 76/48 mmHg) with a heart rate of 120 beats/min and a temperature of 38"C. She had an erythematous rash, which was most prominent on her trunk. Cultures were obtained. The patient was given intravenous fluids and IV antibiotics and transported to the hospital, where she was admitted into the Pediatric Intensive Care Unit. The patient had begun her menstrual period 4 days before she became ill. Laboratory studies indicated a WBC count of 24.10/uL (Reference range: 4-11/uL) with 78% neutrophils (Reference range: 50-70%) Lymphocyte count is normal and platelet count of 250/uL (Reference range: 150-450/uL)
What organism do you think is the causative agent of her infection? *
What are the organs that are possibly affected during the course of infection in this patient as judged from the clinical story? *
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