ABDOMINAL
GENERALISED LYMPHADENOPATHY
Question
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An ultrasound investigation of the young 17-year-old man’s right kidney revealed pyeloectasis, accompanied with disturbance of outflow of urine by urethra. Microscopical investigation of the renal biopsy showed a diffusive infiltration of the interstitium by lymphocytes and hystiocytes. In the cortical and medullar zones there were the foci of a destruction with formation of the cavities, surrounded by peripheral mantle of epithelioid, lymphoid cells and some multinucleated Pirogov-Langhans’ giant cells. What disease is the most probable?
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Tuberculosis of kidney
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Suppurative (apostematous) nephritis
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Nonspecific tubular-interstitial nephritis
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Polycystic kidney
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Explanation:
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