An 86 year old female presents to the hospital from a nursing home. The healthcare team is concerned for the development of shock.
Physical exam: The patent is obtunded. It is noted that the patient has a foul-smelling stage 4 pressure ulcer of the hip which is draining purulent exudate.
Vitals: The patient is hypotensive, tachycardic, and febrile. The respiratory rate and oxygen saturation are normal.
Labs: Significant for an unusually low WBC count. Based on this information, what type of shock is most likely going on?
Group of answer choices
A. Anaphylactic shock
B. Hypovolemic shock
C. Spinal shock
D. Cardiogenic shock
E. Septic shock
F. Neurogenic shock