title: Waterhouse Friderichsen syndrome complicating fulminant Enterobacter cloacae sepsis in a preterm infant: the unresolved issue of corticosteroids.
abstract: Bilateral adrenal hemorrhage can complicate severe sepsis in the neonate and is most commonly attributed to meningococcal disease; however, it can be caused by other etiologic agents as well. We report herein a fatal case of Enterobacter cloacae sepsis in a preterm infant, resulting in massive adrenal hemorrhages. This is the first documented case of adrenal hemorrhage following infection with this pathogen.
authors: 1 Department of Neonatology, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel HaShomer, Israel.
authors: Ben
authors: B
authors: Pode-Shakked
authors: Tal
authors: T
authors: Sadeh-Vered
authors: Dvora
authors: D
authors: Kidron
authors: Jacob
authors: J
authors: Kuint
authors: Tzipora
authors: T
authors: Strauss
authors: Leah
authors: L
authors: Leibovitch
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D016972:Enterobacter cloacae; D004756:Enterobacteriaceae Infections / Q000150:complications* / Q000382:microbiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D011247:Pregnancy; D018805:Sepsis / Q000150:complications* / Q000382:microbiology; D014884:Waterhouse-Friderichsen Syndrome / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology
chemical_list: D000305:Adrenal Cortex Hormones