Waterhouse friderichsen syndrome is named after rupert waterhouse 18731958, an english physician, and carl friderichsen 18861979, a danish pediatrician, who wrote papers on the syndrome, which had been previously described. An autopsy case of pneumococcal waterhousefriderichsen syndrome with. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Waterhousefriderichsen syndrome wfs is defined as adrenal gland failure due to bleeding. Massive adrenal haemorrhage waterhousefriderichsen syndrome 1 is an uncommon, but usually fatal, consequence of overwhelming sepsis. Waterhousefriderichsen syndrome wfs is defined as adrenal gland failure due to bleeding into the adrenal glands, commonly caused by severe bacterial infection. Sepsis in these patients is typically secondary to encapsulated bacteria, with streptococcus pneumoniae being the most frequent pathogen. Waterhousefriderichsen syndrome wfs is a group of symptoms resulting from the failure of the adrenal glands to function normally as a result of bleeding into the gland. See actions taken by the people who manage and post content. Asplenic patients are at increased risk for sepsis and fulminant infection.
When caused by neisseria meningitidis, wfs is considered the most severe form of meningococcal sepsis. Waterhousefriderichsen syndrome radiology reference. The bacterial infection leads to massive bleeding into one or usually both adrenal glands. Universita degli studi di milano, facolta di medicina e chirurgia, sezione. Here we report a fatal case of this syndrome due to neisseria. Waterhousefriderichsen syndrome wfs was reported by waterhouse in 1911 1. Fatal pneumococcal sepsis with waterhousefriderichsen. Vaz a, correia a, martins b, capelo j, fencina p, henriques p, et al. Waterhousefriderichsen syndrome information mount sinai. An autopsy case of pneumococcal waterhousefriderichsen. The merrf diagnostic criteria described in 1980 by fukuhara et al included as typical manifestations of the dis.
In the uk, it is most frequently seen as a result of meningococcal infection, 2 and at necropsy often leads to a presumptive diagnosis of meningococcal septicaemia. The onset of the illness is nonspecific with fever, rigors, vomiting, and headache. Fatal purpura fulminans and waterhousefriderichsen. Dostoevsky and stendhals syndrome edson jose amancio1 abstract stendhals syndrome occurs among travelers when they encounter a work of art of great beaut y. Definition waterhousefriderichsen syndrome wfs or hemorrhagic adrenalitis or fulminant meningococcemia, is defined as adrenal gland failure due to bleeding into the adrenal glands, caused by severe bacterial infection most commonly the meningococcus neisseria meningitidis. Heyde syndromethe link between aortic stenosis and gastrointestinal bleeding. Apr 03, 20 definition waterhousefriderichsen syndrome wfs or hemorrhagic adrenalitis or fulminant meningococcemia, is defined as adrenal gland failure due to bleeding into the adrenal glands, caused by severe bacterial infection most commonly the meningococcus neisseria meningitidis. Pdf tribute to the centenary of waterhousefriderichsen. An experimental model that produces adrenal cortical hemorrhage with endotoxin has been described. Adrenal gland and paraganglia waterhouse friderichsen syndrome. Rare complications of severe sepsis include purpura fulminans and bilateral adrenal hemorrhage waterhousefriderichsen syndrome.
Waterhousefriderichsen syndrome wfs is a catastrophic sepsis. The adrenal glands produce and release different hormones that the body. About europe pmc funders joining europe pmc governance roadmap outreach. Waterhousefriderichsen syndrome, meningococcal, septic shock. Adrenal gland and paraganglia waterhousefriderichsen syndrome. Waterhouse friderichsen syndrome wfs is a group of symptoms resulting from the failure of the adrenal glands to function normally as a result of bleeding into the gland. When should merrf myoclonus epilepsy associated with ragged.
Waterhouse friderichsen syndrome is typically caused by neisseria meningitidis, but has been reported in sepsis from streptococcus pneumoniae, neisseria gonorrhoeae, pseudomonas aeruginosa, escherichia coli, haemophilus influenzae, and staphylococcus aureus. It is characterized by an altered perception of re a l i t y, emotional disturbances, and crises of panic and anxiety with somatization. Waterhousefriderichsen syndrome is one of the fatal complications of meningococcal infection. Fatal purpura fulminans and waterhousefriderichsen syndrome. Despite the predominant association with meningococcal infection, there are numerous other. Neisseria meningitidis induced fatal waterhousefriderichsen.
The disease was so named because the patients all had myoclonus epilepsy and mitochondrialdysfunction wasfound uponmuscle biopsy2. Waterhouse friderichsen syndrome can be caused by a number of different organisms see below. The disease now known as the waterhousefriderichsen syndrome was recognized as an entity by little1 in 1901. Waterhousefriderichsen syndrome also known as purpura fulminans 9 or hemorrhagic adrenalitis 10 is characterized by adrenal insufficiency that results from atraumatic adrenal hemorrhage in consequence of septicemia. Waterhousefriderichsen syndrome as a result of non. Muerte subita por sepsis meningococica scielo espana. Waterhouse friderichsen syndrome also known as purpura fulminans 9 or hemorrhagic adrenalitis 10 is characterized by adrenal insufficiency that results from atraumatic adrenal hemorrhage in consequence of septicemia. Waterhouse friderichsen syndromemassive adrenal haemorrhage in the setting of overwhelming clinical sepsisis usually taken at necropsy to indicate meningococcal infection, and may be the only.
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