KROK 1 2011 – Question 72 · KROK (Medicine) · Pathomorphology

Autopsy of a 1.5-year-old child revealed haemorrhagic skin rash, moderate hyperaemia and edema of nasopharyngeal mucous membrane, small haemorrhages in the mucous membranes and internal organs; dramatic dystrophic alterations in liver and myocardium; acute necrotic nephrosis; massive haemorrhages in the adrenal glands. What disease are these alterations the most typical for?

  1. A. Meningococcal infection
  2. B. Epidemic typhus
  3. C. Scarlet fever
  4. D. Measles
  5. E. Diphtheria
Hint

Combine the child's age, the haemorrhagic skin and organ lesions and the massive bleeding into the adrenal glands to decide which fulminant disease produces this picture.

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