ABDOMINAL
GENERALISED LYMPHADENOPATHY
Question
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patient died as a result of a heart failure. Macroscopically traces of a preexisted rash in the form of maculae and spots were recognized. A gross investigation revealed decubituses at the areas of breeches and spinous processes of vertebra. Microscopical study showed a destructive-proliferative endo-trombovasculitis and Popov’s granulomas in the central nervous system, in a skin, and adrenals. An interstitial myocarditis was diagnosed in his heart. What is the most likely disease?
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Epidemic typhus
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Q fever
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Typhoid fever
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Periarteritis nodosa
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Explanation:
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