A 59-year-old patient presents with fever and agitation. On physical examination, his temperature is 103.2°F. His respirations are 26/min, pulse 126/min, and blood pressure is 100/70 mm Hg. He appears to be warm and flushed. A Swan-Ganz catheter is inserted that
demonstrates an increased cardiac output, a decreased peripheral vascular resistance (vasodilation), and a normal pulmonary capillary wedge pressure (PCWP). The patient’s urine gram stain reveals pyuria and gram-negative rods.
Which of the following is the most likely diagnosis?
a. Late septic shock
b. Early septic shock
c. Cardiogenic shock
d. Hypovolemic shock
e. Neurogenic shock