KROK 1 2009 – Question 134 · KROK (Medicine) · Pathomorphology

Autopsy of a man who died from influenza revealed that the heart was slightly enlarged and pastose. The surface of the incision of myocardium appeared to be pale, with specks. Microscopic examination revealed signs of parenchymatous adipose and hydropic degeneration, edematic stroma with scant lymphocytic and macrophage infiltration; plethoric vessels; perivascular petechial haemorrhages. What type of myocarditis is it?

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

Judge the character of the exudate and the cells in it, and whether the changes are spread through the whole heart muscle or limited to small patches.

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