KROK 1 Stomatology 2013 – Question 52 · KROK (Dentistry)

Autopsy of a man who died from intraintestinal hemorrhage revealed necrosis of grouped and solitary follicles, dead tissues imbibed with bile and blood in the ileum; sequestration and rejection of necrotic masses with defect formation in the lower segment of the intestine. Which of the following diagnoses is most likely?

  1. A. Typhoid fever, ulcerative stage
  2. B. Typhoid fever, "clean ulcer" stage
  3. C. Abdominal typhoid salmonellosis
  4. D. Crohn’s disease
  5. E. Typhoid fever, necrosis stage
Hint

Match the described changes in the ileal Peyer's patches (sequestration and sloughing of necrotic masses, bleeding) to the week-by-week stages of the intestinal lesion in typhoid fever.

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