KROK 1 2016 – Question 139 · KROK (Medicine) · Pathomorphology
Autopsy of a 28-year-old patient, who had been suffering from rheumatism and died of heart failure, revealed pancarditis. Histological investigation of myocardium of the left ventricle posterior wall and interventricular septum detected perivascular cellular focal infiltrates composed of macrophages and creating palisade structures surrounding areas of fibrinoid necrosis. Determine the type of myocarditis:
- A. Focal interstitial exudative
- B. Granulomatous
- C. Diffuse interstitial exudative
- D. Diffuse interstitial productive
- E. -
Hint
Focus on the shape and arrangement of the macrophage infiltrate around the necrotic focus and ask which pattern of inflammation that represents.
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