KROK 1 2009 – Question 170 · KROK (Medicine) · Pathomorphology
A patient with severe course of respiratory viral infection presented with clinical signs of progressing heart failure that led to his death in the 2nd week of disease. Autopsy revealed that the heart cavities were significantly dilated, the heart was flabby. Histological examination of the myocardium revealed microvascular plethora and diffuse stroma infiltration with lymphocytes and histiocytes. What is the most likely diagnosis?
- A. Cardiomyopathy
- B. Myocarditis
- C. Acute coronary insufficiency
- D. Stenocardia
- E. Myocardial infarction
Hint
Ask what process the lymphocytes and histiocytes in the stroma point to, given the preceding viral infection, and whether ischaemia or a primary muscle disease would produce them.
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