Waterhouse Friderichsen Essay Example | Topics and Well Written Essays - 2250 words

Waterhouse Friderichsen - Essay ExampleTo withstand a clear description of Waterhouse Friderichsen, a hypothetical client scenario will be used. Other than concentrating on the particular organ affected by Waterhouse Friderichsen, other variety meat affected by the same will to a fault be discussed. The final section beneath this medical condition will focus on impacts of health care and nursing. The hypothetical case study will be of a 35 year old pistillate patient who was found with signs and symptoms associated with Waterhouse Friderichsen. Majority of cases have been reported in children, solely the increased rate of meningococcal infections have led to high incidences of Waterhouse Friderichsen in adults. In many cases, patients with Waterhouse Friderichsen die within 24hrs, but a a few(preno bital) have managed to survive beyond 48hrs. Cases of full recovery have also been reported in almost regions. This fact proves that the syndrome is not fatal when early diagnosis i s made. Worldwide incidences of Waterhouse Friderichsen syndrome are not many, although cases of the condition go unnoticed in many instances (Manchanda et al, 2008). Case Analysis This is a hypothetical case of a 35 year old female patient who got admitted after showing signs of high grade fever attended by chills and vomiting over a period of 7days. The patient also had a skin blizzard on the abdomen and trunk, which appeared on the 5th day of infection. Following admission, the patient developed a haemorrhagic rash. On assessing the family history, there was no any significant information to associate the infection with family history. Medical interrogative revealed that the patient was unstable, and there was the presence of cyanosis. The patient was febrile with a pulse rate of 90/min and a systolic BP of 70mmHg. Neurological examination revealed positive signs of Kerning and Brudzinski. There were rashes all over the body but predominated on the abdomen and trunk. Collectio n of CSF was done under aseptic conditions and its processing done under measurement bacteriological procedures. Microscopy on CSF was done routinely, and a cell count of 9400/mm3 was reported. Of the total cell count, 86% were polymorphs time 14% were lymphocytes. An increase in CSF proteins to 309mg%, and a decrease in glucose to 20mg% were reported. A Gram stain expression of the CSF revealed pus cells accompanied with gram-negative diplococcus. CSF cultures were done on MacConkey agar, chocolate agar, and blood agar and incubated nightlong. After overnight incubation, there were tiny translucent colonies on blood agar and chocolate agar. Standard bacteriological procedures identify the tinny translucent colonies to be those of Neisseria meningitides. A CT scan conducted on the patient confirmed adrenal hemorrhage, which is present in Waterhouse Friderrichsen syndrome. Antibiotic sensitivity using 5 antibiotics showed no resistance to any of the antibiotics under examination. Antibiotics under examination were sulfamethoxazole, chloramphenicol, ceftriaxone, trimethoprim, and penicillin. The patient was put on ceftriaxone and steroids but went into a shock. On the third base day of admission, water Friderichsen syndrome was reported as the cause of death. Discussion Waterhouse Friderichsen syndrome was reported first in 1911 by Rubert Waterhouse. This syndrome is caused by failure of the adrenal gland due to massive bleeding into the gland. The cause of bleeding is a bacterial infection, most common bacteria being meningococcus Neisseria meningitides. This medical condition presentswith rash, fever, coagulopathy, rash, and shock. During the course of its development, multiple organs are affected, leading to multiple system failure. One significant sign in Waterhouse