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Waterhouse-Friderichsen Syndrome

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Waterhouse-Friderichsen syndrome (hemorrhagic adrenalitis) is a medical emergency, usually seen in the setting of fulminant meningococcal septicemia; however, pneumococci, hemolytic streptococci, and staphylococci have also been implicated. This patient developed bilateral massive adrenal hemorrhage and acute adrenal insufficiency following fulminant pneumococcal septicemia.

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