MRCP UK EXAMINATIONS

A medical record of a dead child reveled meningeal symptoms in his medical history. His X-ray showed a dark patch in the III segment of the right lung and enlarged radical lymph nodes. At autopsy, in cerebral arachnoids, the millet grains-like nodules were found. Microscopical study of a nodule determined a focus of a caseous necrosis with wall of epithelioid, lymphoid cells with giant cells between them. These giant cells had big nuclei, situated on periphery in the form of a half moon. What is the most likely kind of meningitis?