KROK 1 2017 – Question 100 · 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 on section, yields excessive pulp scrape. Soft meninges of the 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. Plague
- B. Brucellosis
- C. Tularemia
- D. Cholera
- E. Anthrax
Hint
Link the farm worker's occupational exposure with the particular combination of a soft, pulpy spleen and blood-saturated meninges to decide which infection from the animal world is described.
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