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Exam questionKROK 2Medicine ยท 2024

A 5-year-old child complains of attacks of spasmodic cough. The child has been ill for 2 weeks after the dry cough appeared. After the treatment that was ineffective, relapses started occurring. During a cough attack, the child's face becomes red and neck veins swell. Objectively, the patient is pale, with edematous face and hemorrhages in the sclera. Auscultation detects a bandbox resonance over the lungs on percussion and dry crackles. X-ray detects increased transparency of the lung fields and intensified bronchial pattern. Blood test results are as follows: leukocytes - 16 x 109/L, lymphocytes -72%, ESR - 4 mm/hour. What is the most likely diagnosis in this case?

Answer options

  1. Adenovirus infection
  2. A foreign body in the airways
  3. Laryngotracheitis
  4. Tuberculous bronchoadenitis
  5. Pertussis
Correct answer

Pertussis

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