KROK 1 2018 – Question 108 · KROK (Medicine) · Pathomorphology

A 34-year-old man died in a comatose state. According to his family after a business trip to an African country he developed periodical jaundice attacks. Autopsy shows the following: dense enlarged spleen with slate-black pulp; enlarged plethoric liver, gray-black on section; cerebral gray matter is brown-gray; cerebral white matter contains numerous small hemorrhages. What infectious disease can be suspected?

  1. A. Prion infection
  2. B. Meningococcemia
  3. C. Generalized herpetic infection
  4. D. Generalized cryptococcosis
  5. E. Malaria
Hint

Combine the exposure history, the periodic course and the unusual dark pigmentation of the organs to decide which infection fits.

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