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
- Cholera
- Plague
- Tularemia
- Anthrax
- 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.
This educational archive is provided by KROKEXAM and is not an official testing authority publication.