KROK 1 2018 – Question 135 · KROK (Medicine) · Pathomorphology
Autopsy of the body revealed waxy degeneration of the rectus abdominis muscles. In the terminal segment of the small intestine there are ulcers 3-5 cm in diameter. The ulcer walls are covered in a crumbling grayish-white substance. The ulcer edges are markedly raised above the mucosa. Widal test is positive. Make the diagnosis:
- A. Typhoid fever
- B. Dysentery
- C. Crohn’s disease
- D. Relapsing fever
- E. Nonspecific ulcerative colitis
Hint
Combine the site of the ulcers, the nature of the necrotic material and the serological test to identify the infection.
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