Waterhouse-Friderichsen syndrome
Ent. Waterhouse, 1911.
Synopsis
petechial rash (petechies)
coagulopathy
cardiovascular collapse
bilateral adrenal hemorrhage
Etiology
Neisseria meningitidis systemic infection (meningococcemia) (80%)
Other bacterias (20%) (splenectomy ++)
- Streptococcus pneumoniae and streptococcal septicemia
- Hemophilus influenzae
-
Staphylococcus aureus (16177250)
- PVL+ Staphylococcus aureus
- staphylococcal septicemia (16177250)
References
Adem PV, Montgomery CP, Husain AN, Koogler TK, Arangelovich V, Humilier M, Boyle-Vavra S, Daum RS. Staphylococcus aureus sepsis and the Waterhouse-Friderichsen syndrome in children. N Engl J Med. 2005 Sep 22;353(12):1245-51. PMID: 16177250