Bacterial Infections · Pathology

Which histological feature is the hallmark of a 'Ghon focus' in primary tuberculosis?

  1. Diffuse neutrophilic infiltration
  2. Caseating granuloma with Langhans giant cells
  3. Fibrinoid necrosis of the vessel walls
  4. Dense collagenous scarring without necrosis
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Correct answer: Caseating granuloma with Langhans giant cells

A Ghon focus is a subpleural area of granulomatous inflammation. It is characterized by central caseous (cheese-like) necrosis surrounded by epithelioid macrophages, lymphocytes, and multinucleated Langhans giant cells.

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