Presentation
Neonatal sepsis. No history of trauma.
Patient Data
Age: 12 days
Gender: Male
From the case:
Adrenal haemorrhage
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A cyst-like lesion with septations and without detectable internal vascularity, measuring about 3.2 x 3.2 cm, is located in the anatomical location of the right adrenal gland, suggesting adrenal haemorrhage.
From the case:
Adrenal haemorrhage
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The urine culture test showed a positive result for Escherichia coli.
Case Discussion
Waterhouse-Friderichsen syndrome is a cause of non-traumatic adrenal haemorrhage as a consequence of septicaemia.
The most common causative organism is Neisseria meningitidis; however, it can occur secondary to Escherichia coli infection.