Exam questionKROK 1Medicine · 2013
A patient died from progressive heart failure. Autopsy revealed that the heart was enlarged in diameter, flabby. The muscle section exhibited irregular blood supply. Histological study of myocardium revealed hyperemia, the stroma was found to have lymphohistiocytic infiltrates with degeneration of cardiomyocytes. The revealed morphological changes are indicative of:
Answer options
- Non-purulent interstitial myocarditis
- Cardiosclerosis
- Myocardial infarction
- Venous plethora
- Cardiomyoliposis
Correct answer
Non-purulent interstitial myocarditis
Explanation
A patient died from progressive heart failure. Autopsy revealed that the heart was enlarged in diameter, flabby. The muscle section exhibited irregular blood supply. Histological study of myocardium revealed hyperemia, the stroma was found to have lymphohistiocytic infiltrates with degeneration of cardiomyocytes. The revealed morphological changes are indicative of:First of all, we can see it’s Myocarditis, enlarged heart, degeneration of cardiomyocytes, and other values… it’s nonpurulent because it's infiltrated with lymphocytes. In a purulent course, neutrophils will show prevalence in the infiltrates.
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