A 20 year old woman is brought in by a concerned neighbor to the emergency room. The neighbor reports that she was found vomiting and confused. On exam, the patient has a temperature of 40 C (104 F) and a blood pressure of 85/50. She looks like she has a big sunburn, but as this is San Francisco, that's sort of odd. You get some labs and notice an elevated serum creatinine, AST, ALT, and a platelet count of 80,000/mm2.
This would be the causative agent:
Challenge: What's the diagnosis?
1. What is seen in the Gram stain?
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