KROK 1 2010 – Question 197 · KROK (Medicine) · Pathomorphology
A 2 year old child had acute respiratory viral infection and died from cardiopulmonary decompensation. Autopsy revealed that his right lung was hyperemic; in the 2nd, 6th and 10th segments and on the incision there were airless yellowish foci of irregular form, from several mm up to 1 cm large. Microscopical examination revealed exudate consisting mainly of neutrophils in the given areas of pulmonary tissue in the alveoles, bronchioles and bronchial tubes. What is the most probable diagnosis?
- A. Acute bronchitis
- B. Focal pneumonia
- C. Croupous pneumonia
- D. Interstitial pneumonia
- E. Pulmonary abscess
Hint
Look at how the lesions are distributed across segments, how large they are, and at which airway levels the neutrophilic exudate lies.
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