KROK 1 2014 – Question 69 · KROK (Medicine) · Pathomorphology
A 3-year-old child with meningeal symptoms died. Postmortem macroscopy of the pia matter revealed miliary nodules which were microscopically represented by a focus of caseous necrosis with masses of epithelioid and lymphoid cells with some crescent-shaped large cells in between having peripheral nuclei. Specify the type of meningitis in the child:
- A. Brucellar
- B. Tuberculous
- C. Meningococcal
- D. Syphilitic
- E. Grippal
Hint
Consider the type of inflammation shown by a necrotic centre rimmed by epithelioid cells and giant cells, and which infections produce it in the meninges.
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