KROK 1 2009 – Question 83 · KROK (Medicine) · Pathomorphology
A worker of a cattle farm fell acutely ill and then died from the progressing intoxication. Autopsy revealed enlarged, hyposthenic spleen of dark-cherry colour when dissected; excessive pulp scraping. At the base and fornix of brain pia maters are edematous, soaked with blood, dark-red ("scarlet hat"). Microscopic examination revealed serous haemorrhagic inflammation of brain tissues and tunics along with destruction of small vessel walls. What is the most likely diagnosis?
- A. Anthrax
- B. Brucellosis
- C. Tularemia
- D. Plague
- E. Cholera
Hint
Link the occupational exposure to livestock with the soft, dark, copiously scraping spleen and the haemorrhagic meningitis, and ask which zoonotic infection causes both.
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