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NBME 18 Answers

nbme18/Block 1/Question#34 (18.0 difficulty score)
60 yo man, 1 day of fever, chills, confusion ...
Vibrio vulnificusπŸ”

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submitted by sinforslide(49),
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heT tatienp lkwdea etboaofr no het baech nda had ors,rhicsi hhiwc ksaem hmi bvluerlena ofr .V cnuiuvisfl tiaaerbcme. .V csluuivifn iaceertbam sha a vyre poro ossgnrpio.

rmFo aettpUd:o V[". v]nilucfuis is het aelgdni aseuc of sasfelsdaisc-hitehol ehdsta ni eth ndtUie a.eStst tinofenscI edu ot .V niscuilfuv aer msto omonmc in siiiudldavn hwo ahve c,hiorcn glrunnedyi in;essll idlidasiuvn wthi livre dsasiee or tomshercsohomia are ta targeste srik."

sinforslide  Also see UWORLD ID: 15255 +4  
suckitnbme  Vibrio species are mostly non-lactose fermenters except Vibrio vulnificus +6  
motherhen  I thought V.vulnificus could only cause food poisoning from eating shellfish; turns out contact with wound infections causes it too (hence why walking barefoot on the beach is a risk factor) +2  
ootscoot  I think they threw this one in here for all the Sketchy loyalists. Gotta keep us on our feet. +