A 44-year-old man with sudden onset of high grade fever is noted to have multiple ecchymoses of the skin that have developed over the past 48 hours. On investigation his prothrombin time (PT) is 38 seconds and partial thromboplastin time (PTT) 55 seconds. A CBC shows a WBC count of 5300/microliter, hemoglobin 8.1 g/dL, MCV 99 fL, and platelet count 16,300/cumm. His D-Dimer test is very high. Which of the following is the most likely diagnosis?

A  Afibrinogenemia

B  Vitamin K deficiency

C  vonWillebrand disease

D Disseminated intravascular coagulopathy

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