一名老年女性因Y群脑膜炎球菌血症导致暴发性紫癜和肾上腺出血。
Purpura fulminans and adrenal hemorrhage due to group Y meningococcemia in an elderly woman.
作者信息
Marnejon T, Watanakunakorn C
机构信息
Department of Internal Medicine, St. Elizabeth Hospital Medical Center, Youngstown, Ohio 44501-1790.
出版信息
South Med J. 1991 Apr;84(4):527-9. doi: 10.1097/00007611-199104000-00034.
Abstract
A 70-year-old previously healthy woman was admitted with a 1-day history of malaise, sore throat, nausea, vomiting, rigors, and confusion. She was found to be in septic shock with purpura fulminans and disseminated intravascular coagulation. She died within 36 hours of admission. Blood cultures grew Neisseria meningitidis group Y. Necropsy revealed evidence of shock and bilateral adrenal hemorrhage.
摘要
一名70岁既往健康的女性因出现1天的不适、咽痛、恶心、呕吐、寒战及意识模糊而入院。她被发现处于感染性休克状态，伴有暴发性紫癜和弥散性血管内凝血。入院后36小时内死亡。血培养结果显示为Y群脑膜炎奈瑟菌。尸检发现有休克及双侧肾上腺出血的证据。
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