KROK 1 2008 – Question 140 · KROK (Medicine) · Pathomorphology
In course of severe respiratory viral infection there appeared clinical signs of progressing cardiac insufficiency that caused death of a patient in the 2nd week of disease. Autopsy revealed that the heart was sluggish, with significant cavity dilatation. Histological examination of myocardium revealed plethora of microvessels and diffuse infiltration of stroma by lymphocytes and histiocytes. What disease corresponds with the described picture?
- A. Acute coronary insufficiency
- B. Myocardium infarction
- C. Stenocardia
- D. Myocarditis
- E. Cardiomyopathy
Hint
Consider how a viral infection can damage the heart, and which tissue findings (interstitial mononuclear infiltrate, hyperaemic microvessels, no focal necrosis) separate this from ischaemic or primary muscle disease.
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