KROK 1 2023 – Question 44 · KROK (Medicine) · Pathomorphology

Autopsy of the body of a 1.5-year-old child revealed a hemorrhagic skin rash, moderate hyperemia and edema of the nasopharyngeal mucosa, small hemorrhages in the mucosa and internal organs, markedly dystrophic changes in the liver and myocardium, acute necrotizing nephrosis, and massive hemorrhages in the adrenal glands. These changes are characteristic of the following disease:

  1. A. Meningococcal infection
  2. B. Diphtheria
  3. C. Scarlet fever
  4. D. Epidemic typhus
  5. E. Measles
Hint

Consider which acute bacterial infection of young children starts in the nasopharynx, spreads through the blood and causes widespread vascular injury with bleeding into the adrenals.

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