KROK 1 2020 – Question 78 · 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-yellow substance. The ulcer edges are moderately raised above the mucosa. Widal test is positive. Make the diagnosis:
- A. Relapsing fever
- B. Typhoid fever
- C. Dysentery
- D. Nonspecific ulcerative colitis
- E. Crohn’s disease
Hint
Combine the site of the intestinal ulcers, the muscle changes and the agglutination test in the stem and ask which infection explains all three together.
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