KROK 1 2019 – Question 50 · 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. Meningococcemia
  2. B. Generalized herpetic infection
  3. C. Generalized cryptococcosis
  4. D. Prion infection
  5. E. Malaria
Hint

Combine the travel history, the recurrent jaundice, the dark pigment in spleen and liver and the small brain hemorrhages to name the infection.

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