A rare case of Waterhouse- Friderichsen syndrome during primary Varicella zoster infection.

Primary Varicella zoster virus infection in adults is associated with a higher risk of complications when compared with the benign disease course of primary infection during childhood. We present a rare complication of adult primary Varicella zoster in the form of acute, irreversible adrenal insufficiency due to bilateral adrenal haemorrhage, which is also known as the WaterhouseFriderichsensyndrome.

[Waterhouse Fridericksen syndrome in adults. Radiological diagnosis. Apropos of a case]. / Le syndrome de Waterhouse Fridericksen de l'adulte. Diagnostic radiologique. A propos d'une observation.

Waterhouse-Fridericksen syndrome is a rare possibility in the adult. The case reported here included full radiological evaluation. The diagnosis was made by ultrasonographic and CT scan imaging. Nuclear magnetic resonance imaging was obtained for the purposes of documentation.

[Unilateral adrenal hemorrhage--a Waterhouse-Friderichsen syndrome?]. / Einseitige Nebennierenblutung--ein Waterhouse-Friderichsen-Syndrom?

A 5-year-old girl presented with a clinical picture of rapidly progressing acute meningococcal sepsis. A routine bedside abdominal ultrasound examination which was done daily showed on the 2nd and 3rd hospital day massive right adrenal hemorrhage with extension into the retroperitoneal fat tissue and intraperitoneal space. The left adrenal gland remained unchanged.