KROK 1 2007 – Question 193 · KROK (Medicine) · Pathomorphology

Autopsy of a man who died from influenza revealed that his heart was slightly enlarged, pastous, myocardium was dull and had specks. Microscopical examination of myocardium revealed signs of parenchymatous adipose and hydropic dystrophy; stroma was edematic with poor macrophagal and lymphocytic infiltration, vessels were plethoric; perivascular analysis revealed petechial hemorrhages. What type of myocarditis was developed in this case?

  1. A. Serous focal
  2. B. Interstitial proliferative
  3. C. Purulent
  4. D. Serous diffuse
  5. E. Granulomatous
Hint

Notice what dominates: fluid in the stroma, dystrophy of cardiomyocytes and only sparse inflammatory cells; decide which exudative type of myocarditis this is and how widely it spreads.

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