ADRENAL HEMORRHAGE WITH PURPURA AND SEPTICEMIA (WATERHOUSE FRIDERICHSEN SYNDROME) WITH RECOVERY; CASE REPORT
Authors: T. Nelson Carey
Journal: Annals of Internal Medicine (1940)

Case Reports1 March 1940ADRENAL HEMORRHAGE WITH PURPURA AND SEPTICEMIA (WATERHOUSE FRIDERICHSEN SYNDROME) WITH RECOVERY; CASE REPORTT. NELSON CAREY, M.D., F.A.C.P.T. NELSON CAREY, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-13-9-1740 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAdrenal hemorrhage complicating septicemia is rarely suspected during life. Almost invariably it is a postmortem discovery, but usually when found it can be correlated with the clinical picture and implicated as an important factor in causing the death of the patient. That it is probably more common than realized is indicated by the admission of three cases to the University Hospital within one year. Two of these have been reported by Sacks,1who in a review of the literature found only 64 cases published before 1937. The third case is described in this report; recovery of the patient prevented proof...Bibliography1. SACKS MS: Fulminating septicemia associated with purpura and bilateral adrenal hemorrhage (Waterhouse-Friderichsen syndrome); report of 2 cases with review of literature, ANN. INT. MED., 1937, x, 1105-1114. Google Scholar2. WATERHOUSE R: A case of suprarenal apoplexy, Lancet, 1911, i, 577. CrossrefGoogle Scholar3. FRIDERICHSEN C: Nebennierenapoplexie bei kleinen Kindern, Jahrb. f. Kinderh., 1918, lxxxvii, 109-125. Google Scholar4. MAGNUSSEN JH: Contribution à la connaissance de l'insuffisance surrénale aiguë chez les enfants. Un case d'apoplexie surrénale aiguë, avec symptômes cutanés, chez un enfant de 2 mois, Rev. franç. de pédiat., 1936, xii, 439-450. Google Scholar5. SIMPSON CK: Pathology of adrenal gland in relation to sudden death, Lancet, 1937, i, 851-856. CrossrefGoogle Scholar6. AEGERTER EE: The Waterhouse-Friderichsen syndrome; review of the literature and report of 2 cases, Jr. Am. Med. Assoc., 1936, cvi, 1715-1719. CrossrefGoogle Scholar7. LOEBATCHLEYBENEDICTLELAND RFDWEMJ: Electrolyte balance studies in adrenalectomized dogs with particular reference to the excretion of sodium, Jr. Exper. Med., 1933, lvii, 755-792. Google Scholar8. CUTLERPOWERWILDER HHMHRM: Concentration of sodium, chloride, and potassium in the blood plasma and urine of patients with Addison's disease: their diagnostic significance, Proc. Staff Meet. Mayo Clin., 1938, xiii, 244-249. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Baltimore, Maryland*Received for publication December 9, 1938.From the Department of Medicine, University of Maryland School of Medicine. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byEndokrinologie in der KinderheilkundeFactors in the prognosis ofmeningococcal infectionHerz- und Kreislaufstörungen bei InfektionskrankheitenHerz- und Kreislaufstörungen bei InfektionskrankheitenManagement of Bacterial Meningitis in ChildrenAdrenal steroids in meningococcemiaWATERHOUSE-FRIDERICHSEN SYNDROME: REPORT OF A CASE WITH RECOVERY*DONALD BAHR, M.D., CHARLES LEVY, M.D.Die Keimdrüsen und ihre KrankheitenMeningococcal infections; With particular referenceto fulminating meningococcemia (Waterhouse-Friderichsen syndrome) treated with cortisone and norepinephrineThe Waterhouse-Friderichsen SyndromeWaterhouse-Friderichsen SyndromeWATERHOUSE-FRIDERIGHSEN SYNDROME TREATED WITH CORTISONEThe Treatment of Purulent MeningitidesThe Waterhouse-Friderichsen SyndromeThe Waterhouse-Friderichsen SyndromeFulminating meningococcemia (the Waterhouse-Friderichsen syndrome)Klinische Ergebnisse der Chemotherapie durch SulfonamideBILATERAL ADRENAL HÆMORRHAGEPurpura fulminans (Waterhouse-friderichsen syndrome)A case of acute suprarenal hemorrhage 1 March 1940Volume 13, Issue 9Page: 1740-1744KeywordsHemorrhageSepsis ePublished: 1 December 2008 Issue Published: 1 March 1940 PDF downloadLoading ...