ABDOMINAL
GENERALISED LYMPHADENOPATHY
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Question
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A 39-year-old milkmaid died of cardiovascular insufficiency. A post-mortem reveled in the aortal valve a polypous-ulcerative endocarditis. A microscopical study of the valve showed the polymorph cellular inflammatory infiltration, zones of destruction and thrombuses with the organization. In addition, a sclerosis with granulomas, consisted of randomly located epithelioid, giant, plasmatic, eosinophyie cells were diagnosed within a stroma of a myocardium. A vasculitis was also determined in the heart vessels. For what disease the described changes in heart are characteristic?
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Brucellosis
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Chronic sepsis
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Rheumatic disease
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Systemic lupus erythematosus
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Explanation:
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