Case 98. Meningococcal meningitis (39 y-o F)
         
    Fulminant meningitis showing lethal hemorrhagic shock in a Japanese lady who just traveled back from Okinawa    
         
   
Key words : 
Neisseria meningitidis, Waterhouse-Friederichsen syndrome, purulent meningitis    
     
 
     
Purulent meningitis with hemorrhage in the frontal lobe (gross findings).   Acute hemorrhage in bilateral adrenals caused acute adrenal insufficiency (Waterhouse-Friderichsen syndrome).