KROK 1 2009 – Question 98 · KROK (Medicine) · Pathomorphology
Autopsy of a 1.5-year-old child revealed haemorrhagic skin rash, moderate hyperaemia and edema of nasopharyngeal mucous membrane, small haemorrhages in the mucous membranes and internal organs; dramatic dystrophic alterations in liver and myocardium; acute necrotic nephrosis; massive haemorrhages in the adrenal glands. What disease are these alterations the most typical for?
- A. Meningococcal infection
- B. Diphtheria
- C. Epidemic typhus
- D. Scarlet fever
- E. Measles
Hint
Focus on the vascular and adrenal damage in a toddler, which suggests an overwhelming bacterial illness with endotoxic shock, and weigh the other diseases for similar findings.
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