An autopsy of a 7-year-old child revealed in the apex of the right lung, under the pleura, a focus of caseous necrosis, 15 mm in diameter. There were also enlarged bifurcational lymph nodes with small necrotic foci. A microscopical investigation of the pulmonal focus and the lymph nodes lesion showed necrotic masses surrounded by epithelioid cells, lymphocytes and solitary giant multinuclear Pirogov-Langhans cells. What is the most likely disease?

GENERALISED LYMPHADENOPATHY

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

An autopsy of a 7-year-old child revealed in the apex of the right lung, under the pleura, a focus of caseous necrosis, 15 mm in diameter. There were also enlarged bifurcational lymph nodes with small necrotic foci. A microscopical investigation of the pulmonal focus and the lymph node’s lesion showed necrotic masses surrounded by epithelioid cells, lymphocytes and solitary giant multinuclear Pirogov-Langhans’ cells. What is the most likely disease?

A	Primary tuberculosis
B	Gematogenic tuberculosis with the lesions of lungs
C	Gematogenic generalized tuberculosis
D	Secondary inflammatory tuberculosis

Explanation:

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MRCP UK EXAMINATIONS

ABDOMINAL

GENERALISED LYMPHADENOPATHY