KROK 1 2021 – Question 58 · 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 gray-yellow substance. The ulcer edges are moderately raised above the mucosa. Widal test is positive. Make the diagnosis:
- A. Relapsing fever
- B. Crohn’s disease
- C. Nonspecific ulcerative colitis
- D. Dysentery
- E. Typhoid fever
Hint
Combine the clues: Zenker necrosis in a skeletal muscle, ulcers of the lowest ileum over lymphoid follicles, and a positive agglutination test with Salmonella antigens.
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