ACUTE FULMINATING MENINGOCOCCUS INFECTION WITH BILATERAL CAPILLARY HEMORRHAGE OF THE ADRENALS AS THE MOST STRIKING GROSS PATHOLOGIC LESION; A CASE REPORT
Authors: F. H. Foucar
Journal: Annals of Internal Medicine (1936)

Case Reports1 June 1936ACUTE FULMINATING MENINGOCOCCUS INFECTION WITH BILATERAL CAPILLARY HEMORRHAGE OF THE ADRENALS AS THE MOST STRIKING GROSS PATHOLOGIC LESION; A CASE REPORTF. H. FOUCAR, F.A.C.P., Lt. Col.F. H. FOUCAR, F.A.C.P., Lt. Col.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-9-12-1736 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe case I shall report died 12 hours after the onset of the final illness, one-half hour after admission to the Walter Reed General Hospital. The antemortem diagnosis was Rocky Mountain spotted fever. As no antemortem laboratory work of any kind had been done and as only a very superficial physical examination had been possible, the microscopical studies on the autopsy material were undertaken to substantiate or refute the original diagnosis. The final diagnosis was not made until after a careful microscopical examination of the body tissues had been completed. The author deems the case especially valuable as an illustration...Bibliography1. WOLBACH SB: Etiology and pathology of typhus, Research Commission to Poland, Harvard U. Press, Cambridge, Mass. Google Scholar2. LILLIE RD: Pathology of eastern type of Rocky Mountain spotted fever, U. S. Treasury Dept., Public Health Report, 1931, xlvi, 2840-2859. CrossrefGoogle Scholar3. MAXIMOWBLOOM AAW: A text book of histology, 1930, W. B. Saunders Co., Philadelphia, 704-709. Google Scholar4. ENGELBACH W: Endocrine medicine, 1932, Charles C. Thomas, Baltimore, i, 16-17, 170-172. Google Scholar5. ROWNTREEGREENE LGCH: Treatment of Addison's disease with cortical hormone of suprarenal gland, Jr. Am. Med. Assoc., 1931, xcvii, 1446-1453. CrossrefGoogle Scholar6. LAVENSON RS: Acute insufficiency of the suprarenals, Arch. Int. Med., 1908, ii, 62-73. CrossrefGoogle Scholar7. PEARLBRUNN FH: Suprarenal apoplexy, bilateral, Surg., Gynec. and Obst., 1928, xlvii, 393-400. Google Scholar8. BRASSER A: Beitrag zur Kenntnis der Nebennierenblutung, Klin. Wchnschr., 1924, iii, 738. (Quoted by F. Pearl and H. Brunn.) CrossrefGoogle Scholar9. CECIL L: A text book of medicine, by Am. authors, 3rd Ed., 1934, W. B. Saunders Co., Philadelphia, 365. Google Scholar10. MASSON DM: Rocky Mountain spotted fever, report of three cases, Proc. Staff Meet. Mayo Clinic, 1935, i, 658-659. Google Scholar11. OSLER W: The principles and practice of medicine, 1931, D. Appleton Co., New York and London, 113-114. Google Scholar12. NELSON'S Loose Leaf Medicine, 1930, Thomas Nelson and Sons, New York and London, ii, 51. Google Scholar13. BOYD W: The pathology of internal diseases, 1931, Lea and Febiger, Philadelphia, 722-723. Google Scholar14. STEVENS AA: The practice of medicine, 2nd Ed., 1926, W. B. Saunders Co., Philadelphia, 90. Google Scholar15. BOONEHALL JTWM: Meningococcal septicemia with a report showing organisms in the direct blood smear, U. S. Naval Med. Bull., 1935, xxxiii, No. 4. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Medical Corps U. S. Army*Received for publication December 2, 1935.From the Laboratory Service, Walter Reed General Hospital, Washington, D. C. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1936Volume 9, Issue 12Page: 1736-1746KeywordsAutopsyCapillariesHemorrhageLesionsMeningococcal diseaseNeisseria meningitidisResearch laboratoriesRocky Mountain spotted fever ePublished: 1 December 2008 Issue Published: 1 June 1936 PDF downloadLoading ...