A post-mortem of a 72-year-old vagabond, with marked kypho-scoliosis, revealed the partially destructed thoracal vertebral bodies due to formation of cavities (sequesters), filled with white-yellow brittle masses. A histological investigation determined within altered vertebras big foci of a caseous necrosis, surrounded with solitary giant multinucleated Pirogov-Langhans cells, epithelioid cells and lymphocytes. Similar changes were diagnosed at mediastinum lymph nodes and disseminated in lungs and kidneys. What is the most likely diagnosis?

GENERALISED LYMPHADENOPATHY

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

A post-mortem of a 72-year-old vagabond, with marked kypho-scoliosis, revealed the partially destructed thoracal vertebral bodies due to formation of cavities (sequesters), filled with white-yellow brittle masses. A histological investigation determined within altered vertebras big foci of a caseous necrosis, surrounded with solitary giant multinucleated Pirogov-Langhans’ cells, epithelioid cells and lymphocytes. Similar changes were diagnosed at mediastinum lymph nodes and disseminated in lungs and kidneys. What is the most likely diagnosis?

A	Tuberculous osteomyelitis
B	Purulent osteomyelitis
C	Syphilitic osteomyelitis
D	Osteoporosis

Explanation:

There is 1 question to complete.

MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY