A 70-year-old male presented to the OPD with complaints of abdominal pain, nausea, headache, malaise, persistent fever for 2 weeks along with constipation. On examination a characteristic rash was observed on the trunk and chest. BP - 120/70 mm of Hg HR- 65 bpm Hepatomegaly Splenomegaly Blood culture did not show any organism, hence a bone marrow culture was taken. Gram staining was done. Which of the following pulses will be most likely seen in the above condition: -
This is a case of Salmonella infection. The image shows faint, salmon coloured blanching maculopapular rash located on trunk and chest (Rose spots). Gram stain shows gram negative bacillus. Salmonella Does not ferment lactose Relative bradycardia Pulsus dicroticus is seen. Typical rash called rose spots Drug of choice - Ciprofloxacin Drug of choice in resistant variety- Ceftriaxone Image A shows pulsus parvus et tardus Image B shows collapsing/ water hammer pulse. Image C shows pulsus bisfiriens Image D shows pulsus dicroticus
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