KROK 1 2010 – Question 82 · KROK (Medicine) · Pathomorphology
Autopsy of a 17 year old girl who died from pulmonary failure revealed a small area of caseous necrosis in the inferior lobe of the right lung, and occurrences of caseous necrosis in the bronchopulmonary, bronchial and bifurcational lymph nodes. What is the most probable postmortem diagnosis?
- A. Hematogenous progression of primary tuberculosis
- B. Primary tuberculosis
- C. Tuberculoma
- D. Caseous pneumonia under secondary tuberculosis
- E. Hematogenous tuberculosis with predominant lung affection
Hint
A small lung focus together with caseous regional lymph nodes is a classic pair; decide whether it fits first contact with the infection or a later, reactivated stage; nothing suggests spread by blood or a lobar lesion.
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