A 10-year-old girl arrived in traumatological unit with symptoms of pathological fracture of the right femur. A histological investigation of an operational material revealed in a bone marrow of a femur fragment, a plural foci of a caseous necrosis with peripheral mantle of epithelioid cells, lymphocytes and solitary Pirogov-Langhans giant cells. Zones of a caseous necrosis extended on adjoining sites of a bone tissue, resulting in osseous destruction. What is the most likely disease?

GENERALISED LYMPHADENOPATHY

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A 10-year-old girl arrived in traumatological unit with symptoms of pathological fracture of the right femur. A histological investigation of an operational material revealed in a bone marrow of a femur fragment, a plural foci of a caseous necrosis with peripheral mantle of epithelioid cells, lymphocytes and solitary Pirogov-Langhans’ giant cells. Zones of a caseous necrosis extended on adjoining sites of a bone tissue, resulting in osseous destruction. What is the most likely disease?

A	Tuberculous osteomyelitis
B	Tuberculous spondylitis
C	Tuberculous koxitis
D	General(common) macrofocal tuberculosis

Explanation:

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MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY