KROK 1 Stomatology 2014 – Question 178 · KROK (Dentistry)

A 45-year-old patient with an 8-year history of tuberculosis died in a hospital of chronic renal failure. At autopsy, the kidneys were enlarged, the cross-section surface looked greasy, histological study revealed profuse deposits of structureless homogeneous eosinophilic masses exhibiting marked metachromasia when stained with Congo red. What pathological process developed in the kidneys?

  1. A. Secondary amyloidosis
  2. B. Toxic nephritis against the background of antibiotic therapy
  3. C. Nephrosclerosis
  4. D. Hematogenous renal tuberculosis
  5. E. Acute glomerulonephritis
Hint

Link the long chronic infection to the kidney deposits that stain with Congo red and look 'greasy' (lardaceous).

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