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Síndrome de Waterhouse Friderichsen secundario a meningoccocemia fulminante

2017; Portuguese Society of Internal Medicine; Volume: 33; Issue: 1 Linguagem: Espanhol

0025-7869

Fernando J. Carrera Viñoles, Patricia R. Pérez Montaño, Luisa Malavé,

Pneumonia and Respiratory Infections

Resumen Neisseria meningitidis (meningococo), es un diplococo Gram negativo especifico del ser humano, unico reservorio conocido hasta la fecha; se clasifica en 13 serogrupos en base a la composicion quimica de polisacarido capsular, no obstante, la enfermedad epidemica es causada por los serogrupos A, B, C, Y y W-135. En el presente caso clinico el agente patogeno aislado corresponde a la especie Neisseria meningitidis serogrupo W- 135, cuya cepa no habia sido aislada en 21 anos en nuestro pais y dicha anatomia patologica reporto hemorragia intracapsular de ambas glandulas suprarrenales secundaria al shock septico inducido por la endotoxina especifica de este patogeno. Waterhouse Friderichsen secondaria to ful- minant meningococemia Abstract Neisseria meningitidis (meningococcus) is a Gram negative diplococcus specific to human and the only reservoir known to date; it is classified into 13 serogroups according to the chemical composition of capsular polysaccharide, however, epidemic disease is caused by serogroups A, B, C, Y and W- 135. In this case we report an isolated pathogen that corresponds to serogroup W-135,This strain had not been isolated in 21 years in our country and this pathology reported intracapsular bleeding from both secondary adrenal glands to septic shock induced endotoxin specified pathogen.