Infections diseases with the syndrome of exanthema Scarlet fever



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20130321-102551

D. Purulent meningitis

E. Neurotoxicosis



66.* 7-year-old child. Complaints: Т- 39,3оС, headache, vomiting. 1st day of the disease. Skin is without changes. Pharynx is hyperaemic. Tongue is coated. Conjunctivitis, scleritis. Signs of neck stiffness. Positive Kernig’s sing on the right. CSF: cytosis - 340, lymphocytes - 87%, neutrophils - 13%, protein - 140 mg/L Clinic and CSF examination data are characteristic for:

A. Purulent meningitis

B. Arachnoiditis

C. Neurotoxicosis

D. Brain tumour

E. Serous meningitis

67* 5-month-old child. Have got sick acutely, Т - 39,2°С, malaise, vomiting, skin rash. 2nd day of the disease: somnolence, convulsion readiness, big fontanel is bulged and tensed. There is hemorrhagic, bluish-red rash with irregular shape and necrosis in the middle on the back, buttocks and thigh. The symptoms of meninges irritation are revealed. Cerebrospinal fluid: protein - 5,6 g/L, cytosis - 1235 per 1 mkL, neutrophils - 83%. What disease caused that?

A. Influenza

B. Viral meningoencephalitis.

C. Pneumococcus meningitis.

B. Tuberculous meningitis.


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