KROK 1 2021 – Question 67 · KROK (Medicine) · Pathomorphology
An 8-year-old child had an acute onset of the disease. The death occurred two days after the onset. On the basal surface of the brain, autopsy shows acutely plethoric soft meninges that are soaked through with thick and turbid yellow-green exudate. Brain tissues are edematous. Make the diagnosis:
- A. Diphtheria
- B. Measles
- C. Scarlet fever
- D. Pertussis
- E. Meningococcal infection
Hint
A rapid fatal course in a child with thick yellow-green purulent exudate over the base of the brain suggests a specific bacterial cause of purulent leptomeningitis.
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