MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A child died of a diffuse peritonitis. An autopsy revealed the primary intestinal tubercular complex with primary affect, a lymphangitis and regional caseous lymphadenitis. In addition, an ulcer of an empty intestine with perforation was found within the primary affect focus. What is the most likely way of tuberculosis infection in presented case?
A
Alimentary (nutritional)
B
Transplacental
C
Aero genie
D
Mixed
Explanation: 

Detailed explanation-1: -As cell death begins, the granuloma forms and cell death continues the inflammatory response is mediated by a type IV hypersensitivity reaction.

Detailed explanation-2: -Caseous necrosis is a type of cell death that causes tissues to become “cheese-like” in appearance. The most common cause is tuberculosis, where granulomas form in your lungs. Conditions that cause caseous necrosis are preventable and treatable.

Detailed explanation-3: -The caseous necrosis is the basic process of tuberculosis disease in humans. The interval from infection to tuberculin conversion is never more than 8 weeks and in general is 5 to 7 weeks (21). The onset of caseous necrosis coincides with the development of acquired immune resistance or CMI and DTH.

Detailed explanation-4: -The main cause of caseous necrosis is tuberculosis, a disease that causes lung infection. This disease is commonly caused by the Mycobacterium tuberculosis bacteria that is spread through the air.

There is 1 question to complete.