KROK 1 2012 – Question 111 · KROK (Medicine) · Pathomorphology
Autopsy of a 17 year old girl who died from pulmonary failure revealed a small area of caseous necrosis in the inferior lobe of the right lung, and occurrences of caseous necrosis in the bronchopulmonary, bronchial and bifurcational lymph nodes. What is the most probable postmortem diagnosis?
- A. Hematogenous progression of primary tuberculosis
- B. Tuberculoma
- C. Primary tuberculosis
- D. Caseous pneumonia under secondary tuberculosis
- E. Hematogenous tuberculosis with predominant lung affection
Hint
Ask what a small lung focus with caseation in the draining hilar and bifurcation nodes represents in the natural history of this infection, and in which age group it typically appears.
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