MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A young 19-year-old man, with an acute onset of disease, died of an infectious-toxic shock. An autopsy revealed the enlarged tonsils, covered with grey-white membranes, which extended on the palatine arch. In addition, an edema of the neck soft tissues determined. Histological investigation showed the necrosis of an epithelium of tonsils and the palatine arch. Tissues underneath were infiltrated by a fibrinous exudate, which formed massive stratifications on a surface. What is the most likely diagnosis?
A
Diphtheria
B
Scarlet fever
C
Adenoviral infection
D
Infectious mononucleosis
Explanation: 

Detailed explanation-1: -Common causes of bacterial pneumonia are Streptococcus pneumoniae (pneumococcus) and, especially in kids, Mycoplasma pneumoniae.

Detailed explanation-2: -Pneumonia is a common lung infection caused by bacteria, a virus or fungi. It often spreads via coughing, sneezing, touching or even breathing, and those who don’t have symptoms can also spread it.

Detailed explanation-3: -Abstract. The development of pneumonia requires that a pathogen reach the alveoli and that the host defenses are overwhelmed by microorganism virulence or by the inoculum size. The endogenous sources of microorganisms are nasal carriers, sinusitis, oropharynx, gastric, or tracheal colonization, and hematogenous spread.

There is 1 question to complete.