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Exam questionKROK 1Medicine ยท 2016

A worker of an agricultural enterprise had been suffering from an acute disease with aggravating intoxication signs, which resulted in his death. On autopsy: the spleen is enlarged, flaccid, dark cherry-red in the section, yields excessive pulp scrape. Soft meninges of fornix and base of the brain are edematous and saturated with blood (''cardinal's cap"). Microscopically: serous-hemorrhagic inflammation of meninges and cerebral tissues. Make the diagnosis:

Answer options

  1. Cholera
  2. Plague
  3. Tularemia
  4. Anthrax
  5. Brucellosis
Correct answer

Anthrax

Explanation

Cardinal's cap is a postmortem appearance unique to internal anthrax in which the proliferating bacteria have caused the blood vessels in the brain to rupture, spreading a veil of blood over the cerebrum.

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