KROK 1 2007 – Question 192 · KROK (Medicine) · Pathomorphology
A 63 y.o. man fell ill with acute tracheitis and bronchitis accompanied by bronchial pneumonia. On the 10th day the patient died from cardiopulmonary insufficiency. Autopsy revealed fibrinous hemorrhagic laryngotracheobronchitis; lungs were enlarged, their incision revealed the "coal-miner’s" effect caused by interlacing of sections of bronchial pneumonia, hemorrhages into the pulmonary parenchyma, acute abscesses and atelectases. Internal organs have discirculatory and dystrophic changes. What is the most probable diagnosis?
- A. Parainfluenza
- B. Influenza, severe form
- C. Moderately severe influenza
- D. Respiratory syncytial infection
- E. Adenoviral infection
Hint
Haemorrhagic laryngotracheobronchitis with a variegated lung and secondary abscesses is the picture of one epidemic respiratory virus in its most serious course.
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