McKinney W P, Agner R C
Division of Field Services, Centers for Disease Control, Atlanta, Ga.
South Med J. 1989 Dec;82(12):1571-3. doi: 10.1097/00007611-198912000-00029.
A previously healthy 19-year-old woman had a febrile illness with hypotension, progressive cyanosis, and an evolving petechial rash. Despite aggressive therapy in the face of shock and disseminated intravascular coagulation, the patient suffered a cardiac arrest and could not be resuscitated. Haemophilus influenzae type b was cultured from the blood and echovirus 30 from the cerebrospinal fluid post mortem. Fulminant H influenzae type b infection in an immunocompetent adult is rare but should be recognized as a possible cause of the Waterhouse-Friderichsen syndrome.
一名既往健康的19岁女性患发热性疾病，伴有低血压、进行性发绀和不断发展的瘀点皮疹。尽管面对休克和弥散性血管内凝血进行了积极治疗，但患者仍发生心脏骤停且未能复苏。尸检时从血液中培养出b型流感嗜血杆菌，从脑脊液中培养出埃可病毒30型。免疫功能正常的成年人中暴发性b型流感嗜血杆菌感染罕见，但应被视为沃-弗综合征的可能病因。
