KROK 1 2012 – Question 134 · KROK (Medicine) · Pathomorphology

A 71 year old man had been presenting with diarrhea for 10 days. The feces had admixtures of blood and mucus. He was delivered to a hospital in grave condition and died 2 days later. Autopsy of the body revealed the following: diphtheritic colitis with multiple irregularly-shaped ulcers of different depth in both sigmoid colon and rectum. Bacteriological analysis revealed Shigella. What was the main disease?

  1. A. Nonspecific ulcerous colitis
  2. B. Dysentery
  3. C. Typhoid fever
  4. D. Yersiniosis
  5. E. Salmonellosis
Hint

Match the clinical course and the sigmoid and rectal pattern of the diphtheritic lesions with the infection caused by the organism that was cultured.

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