KROK 1 2016 – Question 85 · KROK (Medicine) · Pathomorphology
A worker of an agricultural enterprise had been suffering from an acute disease with aggravating intoxication signs, which resulted in his death. On autopsy: the spleen is enlarged, flaccid, dark cherry-red in the section, yields excessive pulp scrape. Soft meninges of fornix and base of the brain are edematous and saturated with blood (”cardinal’s cap”). Microscopically: serous-hemorrhagic inflammation of meninges and cerebral tissues. Make the diagnosis:
- A. Cholera
- B. Tularemia
- C. Plague
- D. Brucellosis
- E. Anthrax
Hint
Combine the occupational exposure with the septic spleen and the hemorrhagic meningeal changes to decide which infection fits.
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