ABDOMINAL
GENERALISED LYMPHADENOPATHY
Question
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A 48-year-old male presented with a sustained high fever, severe headache, a dyspnea, palpitation. A physical investigation revealed a pediculosis, a rash in the form of roseolas and small hemorrhages (petechias) on his thorax skin. In addition, decubituses of legs and foot gangrene were also determined. He died of a heart failure. A histological study showed in the medullar oblongata a hyperemia, stasis, perivascular plasmocytes infiltrates and a proliferation of a microglia (Popov’s granuloma). What is the most likely diagnosis?
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Epidemic typhus
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Antrax meningocephalitis
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Meningococcal meningitis
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Typhoid fever
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Explanation:
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