KROK 1 Stomatology 2015 – Question 120 · KROK (Dentistry)

A 50-year-old patient has been referred for treatment of neck lymphadenitis. His individual penicillin sensitivity was tested. In 30 seconds full-body fever raised in the patient and his arterial blood pressure dropped to 0 mm Hg, followed by cardiac arrest. Resuscitation was unsuccessful. Autopsy revealed acute venous hyperemia of viscera. Histological study revealed mast cells (tissue basocytes) degranulation in the skin (at the area of injections), myocardium and lungs. What kind of hypersensitivity reaction occurred in patient?

  1. A. Anaphylactic
  2. B. Immune complex-mediated
  3. C. Complement-mediated cytotoxic
  4. D. Delayed-type hypersensitivity
  5. E. -
Hint

Note how many seconds passed between exposure and collapse, and which cell type was found degranulated at autopsy.

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